Pediatric Nurse Practitioner, PLLC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

Legal business name

PEDIATRIC NURSE PRACTITIONER, PLLC

Practice address

2944 Holiday Park Dr
Merrick, NY 11566-4825

Phone

(646) 784-6449

Fax

(516) 809-9855

NPI assigned

Jul 27, 2021

Organization subpart

No

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

Authorized official

Name

Joy Beverly Stennett, CPNPNPI 1619380748

Title

CPNP

Phone

(646) 784-6449

Specialties & licenses 1

Addresses

Practitioners 1

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

• Joy Stennett

  • Primary Care Nurse Practitioner
  • Staten Island, NY
  • NPI 1619380748
  NPD Authorized official

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627344000000",
    "number": "1144993080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2944 HOLIDAY PARK DR",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115664825",
            "telephone_number": "646-784-6449",
            "fax_number": "516-809-9855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2944 HOLIDAY PARK DR",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115664825",
            "telephone_number": "646-784-6449",
            "fax_number": "516-809-9855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC NURSE PRACTITIONER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-27",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A",
        "authorized_official_last_name": "STENNETT",
        "authorized_official_first_name": "JOY",
        "authorized_official_middle_name": "BEVERLY",
        "authorized_official_title_or_position": "CPNP",
        "authorized_official_telephone_number": "646-784-6449",
        "authorized_official_credential": "CPNP"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gayle Parker, PH.D.
• Anita F Pasternack, DDS
• Mesha Patel, OD
• Rochelle A Patti, MS
• Sarah Pazmino, OTR/L
• Michael Craig Penchuk, DPM
• Dessiree Marie Pendleton, LMSW
• Roseann Penna
• Jodi Samantha Penstein, OTR/L
• Kathryn Perafan, MSED

• Pediatric Nurse Practitioner in Merrick, NY
• Providers in Merrick, NY by specialty
• Pediatric Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.