Organization Active NPI

Long Island Nurse Practitioners

  • Adult Medicine Physician
  • East Meadow, NY
National Provider Identifier
1245750918
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
LONG ISLAND NURSE PRACTITIONERS
Practice address
97 Ronni Dr
East Meadow, NY 11554-1330
Phone
(516) 543-8630
NPI assigned
Jun 23, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Patricia Ann Sullivan, NO
Title
Partner
Phone
(516) 459-2497

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0505X Primary

Addresses

Primary practice location

97 Ronni Dr
East Meadow, NY 11554-1330

Mailing address

97 Ronni Dr
East Meadow, NY 11554-1330
Phone (516) 543-8630

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1498176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1245750918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 RONNI DR",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115541330",
            "telephone_number": "516-543-8630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 RONNI DR",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115541330",
            "telephone_number": "516-543-8630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND NURSE PRACTITIONERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-23",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "516-459-2497",
        "authorized_official_credential": "NO"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Meadow, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.