Organization Active NPI

Your NP in Family Health, P.C.

  • Family Nurse Practitioner
  • East Meadow, NY
National Provider Identifier
1144505694
Registry record updated Oct 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F334081 Issued in NY
Legal business name
YOUR NP IN FAMILY HEALTH, P.C.
Practice address
30 Newbridge Rd
East Meadow, NY 11554-2150
Phone
(516) 605-1676
NPI assigned
Oct 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2011

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

Authorized official

Name
Pat Dellatto, NP
Title
Owner
Phone
(516) 605-1676

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X F334081 NY Primary

Addresses

Primary practice location

30 Newbridge Rd
East Meadow, NY 11554-2150

Mailing address

30 Newbridge Rd
East Meadow, NY 11554-2150
Phone (516) 605-1676

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111109000035 NY Part B Supplier - Clinic/Group Practice 8426221334 Receives reassigned benefits from 1 practitioner
Practice locations: Wantagh, NY

National Provider Directory

National Provider Directory

Locations

2079 Wantagh Ave
Ste 5
Wantagh, NY 11793
Phone (516) 781-1895

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1318809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318809600000",
    "number": "1144505694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 NEWBRIDGE RD",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115542150",
            "telephone_number": "516-605-1676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 NEWBRIDGE RD",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115542150",
            "telephone_number": "516-605-1676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR NP IN FAMILY HEALTH, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-17",
        "last_updated": "2011-10-17",
        "status": "A",
        "authorized_official_last_name": "DELLATTO",
        "authorized_official_first_name": "PAT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-605-1676",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F334081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Meadow, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.