Individual provider Active NPI

Josefina Vergel, FNP-C

  • Family Nurse Practitioner
  • East Setauket, NY
National Provider Identifier
1235836750
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
351214 Issued in NY
Practice address
3 Technology Dr
East Setauket, NY 11733-4064
Phone
(631) 444-5220
Fax
(631) 444-5225
NPI assigned
Feb 15, 2023
Last updated
Aug 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 351214 NY Primary

Addresses

Primary practice location

3 Technology Dr
East Setauket, NY 11733-4064

Mailing address

100 Nicolls Rd # T17-060
Stony Brook, NY 11794-8173

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
I20230317001993 NY Practitioner - Nurse Practitioner 5698149409 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
351214NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Gastroenterology Practice PLLC CurrentSince Aug 8, 2025 Accepting new patients
GXJ Medical Healthcare PC Current Accepting new patients
Civic Medicine, PLLC CurrentSince Feb 25, 2024 Accepting new patients
New Day Medical PC PastSince Aug 8, 2025 Accepting new patients
Civic Wilton, PLLC PastSince Feb 25, 2024 Accepting new patients

Locations

22215 Northern Blvd
Fl 4
Bayside, NY 11361
Phone (516) 884-3032

22215 Northern Blvd
Flushing, NY 11361
Phone (718) 225-7500

75 Washington St
Hempstead, NY 11550
Phone (516) 565-0777

400 Columbus Ave
Ste 105S
Valhalla, NY 10595
Phone (203) 883-0038

Organizations & group practices 5

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": "1676419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1235836750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 NICOLLS RD # T17-060",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117948173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 TECHNOLOGY DR",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117334064",
            "telephone_number": "631-444-5220",
            "fax_number": "631-444-5225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERGEL",
        "first_name": "JOSEFINA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-15",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "351214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Setauket, NY

Sources for this page

Verify at the official NPI Registry.