Melissa Stockman Adult Care NP PC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F302133-1 Issued in NY

Legal business name

MELISSA STOCKMAN ADULT CARE NP PC

Practice address

152 Islip Ave
Suite 23
Islip, NY 11751-3225

Phone

(613) 277-6767

NPI assigned

Jan 2, 2017

Organization subpart

Yes

Parent organization

MELISSA STOCKMANAs reported in NPPES

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

Authorized official

Name

Melissa Stockman, BC-ANP, PNP, RNNPI 1205054137

Title

Owner

Phone

(631) 758-5635

Specialties & licenses 1

Addresses

Tax ID family

Melissa Stockman Adult Care NP PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Melissa Stockman Adult Care NP PC

  • Adult Health Nurse Practitioner
  • Medford, NY
  • NPI 1952780736
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melissa Sonya Stockman, RN-CS, ANP, PNP

  • Adult Health Nurse Practitioner
  • Islip, NY
  • NPI 1205054137
  NPD (past) Authorized official

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

{
    "created_epoch": "1483315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483315200000",
    "number": "1104361021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 GREENPORT AVE",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117633601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 ISLIP AVE",
            "address_2": "SUITE 23",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "117513225",
            "telephone_number": "613-277-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA STOCKMAN ADULT CARE NP PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MELISSA STOCKMAN",
        "enumeration_date": "2017-01-02",
        "last_updated": "2017-01-02",
        "status": "A",
        "authorized_official_last_name": "STOCKMAN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-758-5635",
        "authorized_official_credential": "BC-ANP, PNP, RN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F302133-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Agnes M McConlogue, MAPT
• Samantha McCormick, MS, CCC-SLP, TSSLD
• Barbara McGarvey
• Cynthia H McLaughlin, RN
• Kara Marie Meister
• Jaclyn Melnick
• Michol Negron DO PLLC
• Harvey J Miller, M.D.
• Samantha Mize
• Austin Joseph Mizerak I

• Family Nurse Practitioner in Islip, NY
• Providers in Islip, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.