NPIMap

Organization Active NPI

E & G Heathcare, N.P. in Family Health P.L.L.C.

  • Family Nurse Practitioner
  • Staten Island, NY
National Provider Identifier
1265841894
Registry record updated Oct 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
E & G HEATHCARE, N.P. IN FAMILY HEALTH P.L.L.C.
Practice address
149 Merrymount St
Staten Island, NY 10314-4844
Phone
(718) 698-6700
NPI assigned
Aug 7, 2014
Last updated
Oct 21, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2014

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

Authorized official

Name
Efrat Halevi
Title
FNP
Phone
(718) 698-6700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X Primary

Addresses

Primary practice location

149 Merrymount St
Staten Island, NY 10314-4844

Mailing address

149 Merrymount St
Staten Island, NY 10314-4844
Phone (718) 698-6700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141219000274 NY Part B Supplier - Clinic/Group Practice 3476876681 Receives reassigned benefits from 8 practitioners
Practice locations: Staten Island, NY

National Provider Directory

National Provider Directory

Locations

149 Merrymount St
Staten Island, NY 10314
Phone (718) 698-6700

209 Steinway Ave
Staten Island, NY 10314
Phone (718) 698-2211

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1407369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413849600000",
    "number": "1265841894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 MERRYMOUNT ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103144844",
            "telephone_number": "718-698-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 MERRYMOUNT ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103144844",
            "telephone_number": "718-698-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E & G HEATHCARE, N.P. IN FAMILY HEALTH P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-07",
        "last_updated": "2014-10-21",
        "status": "A",
        "authorized_official_last_name": "HALEVI",
        "authorized_official_first_name": "EFRAT",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "718-698-6700"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; 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.