Justina M Eckley, PNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

F-382150 Issued in NY

Practice address

285 W Main St Ste 104
Sayville, NY 11782-2540

Phone

(631) 563-8190

NPI assigned

Nov 2, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Stony Brook Children'S Service, University Faculty Practice Corporatio

  • Pediatrics Physician
  • Stony Brook, NY
  • NPI 1083660575
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652313600000",
    "number": "1104126408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 W MAIN ST STE 104",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117822540",
            "telephone_number": "631-563-8190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 W MAIN ST STE 104",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117822540",
            "telephone_number": "631-563-8190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKLEY",
        "first_name": "JUSTINA",
        "middle_name": "M",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-02",
        "last_updated": "2022-05-12",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "F-382150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "justina.eckley@sbcm.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "285 W Main St Ste 104",
            "city": "Sayville",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117822540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Donna Altonji LCSW PLLC
• Kerry A Donohue, M.A., CCC-SLP BILING
• Laura Donovan
• David P Doring, PSY.D.
• East End Nurse Practitioner in Family Health PC
• Edutherapy, Inc.
• Debra Entenberg, LCSW
• Caroline Louise Ernecoff, MS, SLP-CCC, TSSLD
• Frances Esposito, CARC
• Essnyc Inc

• Pediatric Nurse Practitioner in Sayville, NY
• Providers in Sayville, NY by specialty
• Pediatric Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.