Nova Family Health NP, PC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

NOVA FAMILY HEALTH NP, PC

Practice address

1400 Wantagh Ave
Wantagh, NY 11793-2257

Phone

(516) 308-7405

Fax

(516) 308-7404

NPI assigned

Sep 12, 2023

Organization subpart

No

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

Authorized official

Name

Ms. Valessa Mesidor, FNPNPI 1972276285

Title

Owner

Phone

(516) 587-4541

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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

• Valessa Mesidor

  • Family Nurse Practitioner
  • Wantagh, NY
  • NPI 1972276285
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1694476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720396800000",
    "number": "1114704285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 COLUMBIA ST",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117352606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 WANTAGH AVE",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117932257",
            "telephone_number": "516-308-7405",
            "fax_number": "516-308-7404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA FAMILY HEALTH NP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-12",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A",
        "authorized_official_last_name": "MESIDOR",
        "authorized_official_first_name": "VALESSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-587-4541",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "347927",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07863734",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "A400294812",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northland Hearing Centers, Inc.
• Olena Nosaryeva, RN
• Nosov Family Dental PC
• Julia Nosov, DDS
• Michael Nosov, DDS
• Jeffrey S. Novak, M.D.
• Danielle Nuccio, MS, CCC-SLP, TSHH
• Gabriel Nunez, MHC-LP
• Eilis O'Connell, LBA, BCBA-D
• Tracy-Ann O'Leary, SLP

• Family Nurse Practitioner in Wantagh, NY
• Providers in Wantagh, 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 Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.