Individual provider Active NPI

Brittany Janine Fullerton, NP

  • Women's Health Nurse Practitioner
  • New Hyde Park, NY
National Provider Identifier
1184492662
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
421688 Issued in NY
Practice address
3333 New Hyde Park Rd Ste 100 101
New Hyde Park, NY 11042-1204
Phone
(516) 663-6400
NPI assigned
Dec 14, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 421688 NY Primary

Addresses

Primary practice location

3333 New Hyde Park Rd Ste 100 101
New Hyde Park, NY 11042-1204

Mailing address

PO Box 310
Plainview, NY 11803-0310
Phone (516) 663-6400

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
I20260306003169 NY Practitioner - Nurse Practitioner 8628550639 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1111 Marcus Ave
New Hyde Park, NY 11042-1034

2 Brighton Rd
Suite 300
Clifton, NJ 07012-1645

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
421688NYMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nsuh Plainview Physicians Ufp Corporation CurrentSince Jan 28, 2026 Accepting new patients
Bethpage Medical, PLLC PastSince Apr 1, 2009 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) 260-6812

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

3333 New Hyde Park Rd
Ste 100
New Hyde Park, NY 11042
Phone (516) 417-3488

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, 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": "1702512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1184492662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 310",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118030310",
            "telephone_number": "516-663-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 NEW HYDE PARK RD STE 100 101",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421204",
            "telephone_number": "516-663-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLERTON",
        "first_name": "BRITTANY",
        "middle_name": "JANINE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-14",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "421688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.