Organization Active NPI

Li NP in Family Health and Adult Health PLLC

  • Family Nurse Practitioner
  • Sayville, NY
National Provider Identifier
1114800620
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
LI NP IN FAMILY HEALTH AND ADULT HEALTH PLLC
Practice address
28 S Main St
Sayville, NY 11782-3104
Phone
(516) 250-3044
Fax
(631) 938-9451
NPI assigned
Jul 30, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Authorized official

Name
Micaela Virgilio, NPNPI 1134855265
Title
Nurse Practitioner
Phone
(516) 250-3044

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2200X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

28 S Main St
Sayville, NY 11782-3104

Mailing address

28 S Main St
Sayville, NY 11782-3104
Phone (516) 250-3044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260420001424 NY Part B Supplier - Clinic/Group Practice 9537635347 Receives reassigned benefits from 1 practitioner
Practice locations: Sayville, NY

National Provider Directory

National Provider Directory

Locations

28 S Main St
Sayville, NY 11782
Phone (516) 250-3044

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1753833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753833600000",
    "number": "1114800620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 S MAIN ST",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117823104",
            "telephone_number": "516-250-3044",
            "fax_number": "631-938-9451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 S MAIN ST",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117823104",
            "telephone_number": "516-250-3044",
            "fax_number": "631-938-9451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LI NP IN FAMILY HEALTH AND ADULT HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-30",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A",
        "authorized_official_last_name": "VIRGILIO",
        "authorized_official_first_name": "MICAELA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "516-250-3044",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sayville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.