Active NPI
Micaela Virgilio, NP
- Family Nurse Practitioner
- Rockville Centre, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F350116-01
- Practice address
- 200 Sunrise Hwy FL 2
Rockville Centre, NY 11570-4921 - Phone
- (516) 531-7836
- NPI assigned
- Jul 29, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F350116-01 | NY | Primary |
| Registered Nurse | 163W00000X | 736422 | NY |
Addresses
Primary practice location
200 Sunrise Hwy FL 2
Rockville Centre, NY 11570-4921
Mailing address
200 Sunrise Hwy FL 2
Rockville Centre, NY 11570-4921
Phone (516) 531-7836
Other practice location 1
28 S Main St
Sayville, NY 11782-3104
Phone (516) 531-7836
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | babeaestheticsny.com | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
11811 Sutphin Blvd
Suite 90841
Jamaica, NY 11434-2024
28 S Main St
Sayville, NY 11782-3104
409 N Broome Ave
Suite 103
Lindenhurst, NY 11757-3402
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 736422 | NY | MD | Registered Nurse |
| F350116-01 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Li NP in Family Health and Adult Health PLLC | Family | Current | Accepting new patients |
Locations
28 S Main St
Sayville, NY 11782
Phone (516) 250-3044
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 and National Provider Directory roles.
-
- Family Nurse Practitioner
- Sayville, NY
- NPI 1114800620
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715990400000",
"number": "1134855265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 SUNRISE HWY FL 2",
"city": "ROCKVILLE CENTRE",
"state": "NY",
"postal_code": "115704921",
"telephone_number": "516-531-7836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 SUNRISE HWY FL 2",
"city": "ROCKVILLE CENTRE",
"state": "NY",
"postal_code": "115704921",
"telephone_number": "516-531-7836"
}
],
"practiceLocations": [
{
"address_1": "28 S Main St",
"address_purpose": "LOCATION",
"city": "Sayville",
"state": "NY",
"postal_code": "117823104",
"country_code": "US",
"telephone_number": "516-531-7836",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VIRGILIO",
"first_name": "MICAELA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-29",
"last_updated": "2024-05-18",
"certification_date": "2024-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F350116-01",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "736422",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "babeaestheticsny.com",
"affiliation": "N",
"endpointDescription": "Website",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Website",
"address_1": "200 Sunrise Hwy Fl 2",
"city": "Rockville Centre",
"state": "NY",
"country_code": "US",
"postal_code": "115704921",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Rockville Centre, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.