Active NPI
Nafisa Syed
- Adult Health Nurse Practitioner
- Amityville, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 310808
- Practice address
- 100 W Oak St
Amityville, NY 11701-2927 - Phone
- (631) 264-1800
- NPI assigned
- Apr 13, 2016
- Last updated
- Dec 5, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 310808 | NY | Primary |
| Registered Nurse | 163W00000X | 751851 | NY | |
| Licensed Practical Nurse | 164W00000X | 323017 | NY |
Addresses
Primary practice location
100 W Oak St
Amityville, NY 11701-2927
Mailing address
58 Pitt Ave
Deer Park, NY 11729-1807
Other practice location 1
58 Pitt Ave
Deer Park, NY 11729-1807
Phone (631) 813-3555
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
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8 Seitz Dr
FL 1
Bethpage, NY 11714-6017
Phone (516) 243-9777
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 751851 | NY | MD | Registered Nurse |
| 323017 | NY | MD | Licensed Practical Nurse |
| 310808 | NY | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bethpage Medical Practice PLLC | Current | Accepting new patients | |
| Pulse Cardiology PLLC | Current | Accepting new patients | |
| Ronkonkoma Medical Care PLLC | Current | Accepting new patients | |
| Amityville Medical Care P.C. | Current | Accepting new patients | |
| Brookview Medical Associates, PLLC | Current | Accepting new patients |
Locations
100 W Oak St
Amityville, NY 11701
Phone (631) 264-1800
8 Seitz Dr
Bethpage, NY 11714
Phone (516) 243-9777
8 Seitz Dr
Fl 1
Bethpage, NY 11714
Phone (516) 243-9777
80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610
9815 Horace Harding Expy
Ste 1L
Corona, NY 11368
Phone (516) 243-9777
299 Ronkonkoma Ave
Ronkonkoma, NY 11779
Phone (516) 243-9777
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Bethpage, NY
- NPI 1518676139
-
- Family Medicine Physician
- Amityville, NY
- NPI 1780064642
-
- General Practice Physician
- Bohemia, NY
- NPI 1871965855
-
- Cardiovascular Disease Physician
- Corona, NY
- NPI 1649149808
-
- Cardiovascular Disease Physician
- Ronkonkoma, NY
- NPI 1710856984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670198400000",
"number": "1144674383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58 PITT AVE",
"city": "DEER PARK",
"state": "NY",
"postal_code": "117291807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 W OAK ST",
"city": "AMITYVILLE",
"state": "NY",
"postal_code": "117012927",
"telephone_number": "631-264-1800"
}
],
"practiceLocations": [
{
"address_1": "58 Pitt Ave",
"address_purpose": "LOCATION",
"city": "Deer Park",
"state": "NY",
"postal_code": "117291807",
"country_code": "US",
"telephone_number": "631-813-3555",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SYED",
"first_name": "NAFISA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-13",
"last_updated": "2022-12-05",
"certification_date": "2022-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "310808",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "751851",
"primary": false
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "323017",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Amityville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; 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.