Peter L Mermelstein, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

F306532 Issued in NY

Practice address

3505 Veterans Memorial Hwy
Ste C
Ronkonkoma, NY 11779-7640

Phone

(631) 676-7656

Fax

(631) 676-7648

NPI assigned

Aug 20, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: peter.mermelstein@direct.stonybrookmedicine.edu

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.

• Preferred Professional Medical Care PC

  • Internal Medicine Physician
  • Ronkonkoma, NY
  • NPI 1083916670
  Medicare reassignment NPD
• University Hospital at Stony Brook

  • General Acute Care Hospital
  • Stony Brook, NY
  • NPI 1972523348
  NPD

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

{
    "created_epoch": "1376956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376956800000",
    "number": "1164855524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 VETERANS MEMORIAL HWY",
            "address_2": "STE C",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117797640",
            "telephone_number": "631-676-7656",
            "fax_number": "631-676-7648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 VETERANS MEMORIAL HWY",
            "address_2": "STE C",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117797640",
            "telephone_number": "631-676-7656",
            "fax_number": "631-676-7648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERMELSTEIN",
        "first_name": "PETER",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-20",
        "last_updated": "2013-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F306532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura A Mendez, LPN
• Sneha Menon
• Mayra C. Mera, LMSW
• Carmen Delia Mercado
• Jodi Michele Merlino, LCSW
• Lisa Ann Messina, MS CCC-SLP
• Metro Chiropractic Care, PC
• Denise Mevs
• Ruth M Meyer, LCSW-R, CASAC
• Amanda Marie Meyerricks, PA-C

• Adult Health Nurse Practitioner in Ronkonkoma, NY
• Providers in Ronkonkoma, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.