Individual provider Active NPI

Jeanine E Mucci, NP

  • Adult Health Nurse Practitioner
  • Central Islip, NY
National Provider Identifier
1154748192
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
308296 Issued in NY
Practice address
70 Pleasantview Dr
Central Islip, NY 11722-4677
Phone
(631) 804-5114
NPI assigned
Mar 27, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2200X 308296 NY Primary

Addresses

Primary practice location

70 Pleasantview Dr
Central Islip, NY 11722-4677

Mailing address

133 Charter Oaks Ave
Brentwood, NY 11717-5108
Phone (631) 804-5114

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
I20190529002383 NY Practitioner - Nurse Practitioner 0648513952 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nsuh Plainview Physicians Ufp Corporation Multi-Specialty CurrentSince Jan 27, 2026 Accepting new patients

Locations

1575 E 19th St
Brooklyn, NY 11230
Phone (718) 339-3777

123 Maple Ave
Ste 100
Cedarhurst, NY 11516
Phone (516) 295-6841

123 Maple Ave
Cedarhurst, NY 11516
Phone (516) 295-1300

5036 Jericho Tpke
Ste 205
Commack, NY 11725
Phone (631) 385-8000

11241 Queens Blvd
Forest Hills, NY 11375
Phone (347) 321-7911

200 Garden City Plz
Ste 100
Garden City, NY 11530
Phone (516) 414-6900

4150 Sunrise Hwy
Massapequa, NY 11758
Phone (516) 393-1000

3333 New Hyde Park Rd
Ste 100
New Hyde Park, NY 11042
Phone (516) 439-5300

7 W 51st St
Fl 4
New York, NY 10019
Phone (212) 629-2000

Organizations & group practices 2

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": "1395878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770336000000",
    "number": "1154748192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 CHARTER OAKS AVE",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117175108",
            "telephone_number": "631-804-5114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 PLEASANTVIEW DR",
            "city": "CENTRAL ISLIP",
            "state": "NY",
            "postal_code": "117224677",
            "telephone_number": "631-804-5114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUCCI",
        "first_name": "JEANINE",
        "middle_name": "E",
        "name_prefix": "Miss",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-27",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "308296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Central Islip, NY

Sources for this page

Verify at the official NPI Registry.