Individual provider Active NPI

Nafisa Syed

  • Adult Health Nurse Practitioner
  • Amityville, NY
National Provider Identifier
1144674383
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
310808 Issued in NY
Practice address
100 W Oak St
Amityville, NY 11701-2927
Phone
(631) 264-1800
NPI assigned
Apr 13, 2016
Last updated
Dec 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230929002771 NY Practitioner - Nurse Practitioner 4981058534 Reassigns benefits to 5 organizations

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
Bethpage Medical Practice PLLCGroup PAC ID 4880066679, 8 clinicians

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

LicenseStateTypeSpecialty
751851NYMDRegistered Nurse
323017NYMDLicensed Practical Nurse
310808NYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bethpage Medical Practice PLLC CurrentSince Oct 1, 2025 Accepting new patients
Pulse Cardiology PLLC CurrentSince Nov 4, 2025 Accepting new patients
Ronkonkoma Medical Care PLLC CurrentSince Nov 4, 2025 Accepting new patients
Amityville Medical Care P.C. CurrentSince Jul 26, 2023 Accepting new patients
Brookview Medical Associates, PLLC CurrentSince Jul 14, 2024 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.

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

Verify at the official NPI Registry.