Individual provider Active NPI

Jennifer Peros, FNP

  • Family Nurse Practitioner
  • Riverhead, NY
National Provider Identifier
1265148167
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F351119-01 Issued in NY
Practice address
1087 Route 58 # 1034
Riverhead, NY 11901-2141
Phone
(631) 741-4094
NPI assigned
Jan 25, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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 F351119-01 NY Primary

Addresses

Primary practice location

1087 Route 58 # 1034
Riverhead, NY 11901-2141

Mailing address

1087 Route 58 # 1034
Riverhead, NY 11901-2141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241107002876 NY Practitioner - Nurse Practitioner 4284168600 Reassigns benefits to 4 organizations
I20260622001780 CT Practitioner - Nurse Practitioner 4284168600 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gurwinder K Sidhu Medical Services PCGroup PAC ID 4688195456, 2 clinicians
Bridge Health PLLCGroup PAC ID 3577000728, 18 clinicians
Daniel Novick MD PLLCGroup PAC ID 0143754341, 22 clinicians
MD Masud Billah Medical Care PCGroup PAC ID 7810340023, 3 clinicians

Practice addresses (Care Compare)

110 Beaver Dam Rd
Brookhaven, NY 11719-9719
Phone (516) 589-4496

14 Westport Ave
Norwalk, CT 06851-3915
Phone (516) 543-6249

20 E Sunrise Hwy
FL 2
Valley Stream, NY 11581-1260
Phone (516) 543-6249

275 Bayview Ave
Massapequa, NY 11758-8012
Phone (646) 642-7029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F351119-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MD Masud Billah Medical Care PC CurrentSince Feb 15, 2026 Accepting new patients
North Ocean Medical Group P.C. CurrentSince Aug 30, 2024 Accepting new patients
Li Family Health NP PLLC Family CurrentSince May 3, 2026 Accepting new patients

Locations

212 Linda Ave
Unit 511
Aquebogue, NY 11931
Phone (631) 778-8851

152 N Ocean Ave
Patchogue, NY 11772
Phone (631) 730-1189

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1674604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1265148167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1087 ROUTE 58 # 1034",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1087 ROUTE 58 # 1034",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012141",
            "telephone_number": "631-741-4094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEROS",
        "first_name": "JENNIFER",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-25",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F351119-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverhead, NY

Sources for this page

Verify at the official NPI Registry.