Individual provider Active NPI

Sherifat O Musa, WHNP

  • Women's Health Nurse Practitioner
  • Smithtown, NY
National Provider Identifier
1124895743
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
F421679 Issued in NY
Practice address
70 Maple Ave
Smithtown, NY 11787-3502
Phone
(631) 361-7526
NPI assigned
Dec 4, 2023
Last updated
Dec 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X F421679 NY Primary

Addresses

Primary practice location

70 Maple Ave
Smithtown, NY 11787-3502

Mailing address

70 Maple Ave
Smithtown, NY 11787-3502

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240201003311 NY Practitioner - Nurse Practitioner 5991158297 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of New York Downstate Medical Center, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Planned Parenthood Hudson Peconic IncGroup PAC ID 8921376138, 17 clinicians

Practice addresses (Care Compare)

70 Maple Ave
Smithtown, NY 11787-3502
Phone (631) 361-7526

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F421679NYMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood Hudson Peconic Inc. CurrentSince Feb 6, 2024 Accepting new patients
Planned Parenthood HP Past Accepting new patients

Locations

8390 Champions Gate Blvd
Ste 220
Champions Gate, FL 33896
Phone (407) 479-2015

570 Taxter Rd
Ste 250
Elmsford, NY 10523
Phone (914) 761-6566

755 New York Ave
Ste 333
Huntington, NY 11743
Phone 6314277154 ext. 8005

6 Gramatan Ave
Ste 404
Mount Vernon, NY 10550
Phone (914) 668-7927

150 Lockwood Ave
Ste LL-1
New Rochelle, NY 10801
Phone (914) 632-4442

450 Waverly Ave
Patchogue, NY 11772
Phone (631) 289-1151

70 Maple Ave
Smithtown, NY 11787
Phone (631) 240-1111

25 Perlman Dr
Spring Valley, NY 10977
Phone (845) 426-7577

180 Sunrise Hwy
West Islip, NY 11795
Phone (631) 893-0150

175 Tarrytown Rd
White Plains, NY 10607
Phone (914) 761-6566

20 S Broadway
#11
Yonkers, NY 10701

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1124895743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 MAPLE AVE",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 MAPLE AVE",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873502",
            "telephone_number": "631-361-7526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSA",
        "first_name": "SHERIFAT",
        "middle_name": "O",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-04",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "F421679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

Verify at the official NPI Registry.