Individual provider Active NPI

Sharon Moira Friedman-Urevich, MSN,RN,FNP-C, PMHNP

  • Family Nurse Practitioner
  • East Northport, NY
National Provider Identifier
1134182447
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F3330011 Issued in NY
Practice address
534 2ND St
East Northport, NY 11731-2433
Phone
(516) 852-7974
NPI assigned
Apr 8, 2006
Last updated
Jul 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F3330011 NY Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 407107 NY

Addresses

Primary practice location

534 2ND St
East Northport, NY 11731-2433

Mailing address

534 2ND St
East Northport, NY 11731-2433
Phone (516) 852-7974

Other identifiers 7

IdentifierTypeStateIssuer
7599412OtherNYGHI (CBP)
F333001OtherNYHIP
02515259MedicaidNY
392291OtherNYAETNA USHC (PPO)
3435248OtherNMAETNA USHC
P3131882OtherNYOXFORD
000000083538OtherNYGHI (HMO)

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
I20040508000032 NY Practitioner - Nurse Practitioner 1850380569 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
F3330011NYMDFamily Nurse Practitioner
407107NYMDPsychiatric/Mental Health Nurse Practitioner

Organizations & group practices 1

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": "1144454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1134182447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 2ND ST",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117312433",
            "telephone_number": "516-852-7974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 2ND ST",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117312433",
            "telephone_number": "516-852-7974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMAN-UREVICH",
        "first_name": "SHARON",
        "middle_name": "MOIRA",
        "credential": "MSN,RN,FNP-C, PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-08",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F3330011",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "407107",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI (CBP)",
            "identifier": "7599412",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "F333001",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02515259",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA USHC (PPO)",
            "identifier": "392291",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA USHC",
            "identifier": "3435248",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3131882",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI (HMO)",
            "identifier": "000000083538",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Northport, NY

Sources for this page

Verify at the official NPI Registry.