Organization Active NPI

Family Health & Medical Aesthetic Center Inc

  • Family Nurse Practitioner
  • Hempstead, NY
National Provider Identifier
1134327422
Registry record updated Aug 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F333926 Issued in NY
Legal business name
FAMILY HEALTH & MEDICAL AESTHETIC CENTER INC
Practice address
421 S Franklin St
Hempstead, NY 11550-7336
Phone
(718) 496-9203
NPI assigned
Jul 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2011

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

Authorized official

Name
Ms. Lisa Del Pozo, FNP
Title
FNP
Phone
(718) 496-9203

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X F333926 NY Primary

Addresses

Primary practice location

421 S Franklin St
Hempstead, NY 11550-7336

Mailing address

7607 Roosevelt Ave
Jackson Heights, NY 11372-6635
Phone (718) 496-9203

Other identifiers 1

IdentifierTypeStateIssuer
02744058MedicaidNY

National Provider Directory

National Provider Directory

Locations

421 S Franklin St
Hempstead, NY 11550
Phone (516) 280-5558

7607 Roosevelt Ave
Jackson Heights, NY 11372

NPI Registry JSON

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313971200000",
    "number": "1134327422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7607 ROOSEVELT AVE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113726635",
            "telephone_number": "718-496-9203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 S FRANKLIN ST",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115507336",
            "telephone_number": "718-496-9203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTH & MEDICAL AESTHETIC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-06",
        "last_updated": "2011-08-22",
        "status": "A",
        "authorized_official_last_name": "DEL POZO",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "718-496-9203",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F333926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02744058",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hempstead, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; 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.