Organization Active NPI

Vidya Meppurath Nurse Practitioner in Adult Health PLLC

  • Adult Health Nurse Practitioner
  • Albertson, NY
National Provider Identifier
1184424731
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
VIDYA MEPPURATH NURSE PRACTITIONER IN ADULT HEALTH PLLC
Practice address
93 Sampson Ave
Albertson, NY 11507-1707
Phone
(516) 860-1707
NPI assigned
Mar 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Authorized official

Name
Vidya Meppurath, NPNPI 1477005742
Title
Owner
Phone
(516) 860-2122

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

93 Sampson Ave
Albertson, NY 11507-1707

Mailing address

93 Sampson Ave
Albertson, NY 11507-1707
Phone (516) 760-2122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250519000781 NY Part B Supplier - Clinic/Group Practice 2466970900 Receives reassigned benefits from 1 practitioner
Practice locations: Albertson, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1741824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752019200000",
    "number": "1184424731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 SAMPSON AVE",
            "city": "ALBERTSON",
            "state": "NY",
            "postal_code": "115071707",
            "telephone_number": "516-760-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 SAMPSON AVE",
            "city": "ALBERTSON",
            "state": "NY",
            "postal_code": "115071707",
            "telephone_number": "516-860-1707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDYA MEPPURATH NURSE PRACTITIONER IN ADULT HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-13",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A",
        "authorized_official_last_name": "MEPPURATH",
        "authorized_official_first_name": "VIDYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-860-2122",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albertson, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.