Individual provider Active NPI

Micaela Virgilio, NP

  • Family Nurse Practitioner
  • Rockville Centre, NY
National Provider Identifier
1134855265
Registry record updated May 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F350116-01 Issued in NY
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

Updated by the provider on May 18, 2024

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 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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260420001467 NY Practitioner - Nurse Practitioner 0446726251 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
736422NYMDRegistered Nurse
F350116-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Li NP in Family Health and Adult Health PLLC Family CurrentSince Feb 7, 2026 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.

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

Verify at the official NPI Registry.