Individual provider Active NPI

Nadine C Brissett-Williams

  • Family Nurse Practitioner
  • Valley Stream, NY
National Provider Identifier
1275208787
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
347561 Issued in NY
Practice address
64 Cloverfield Rd S
Valley Stream, NY 11581-2424
Phone
(917) 225-8598
NPI assigned
Aug 16, 2021
Last updated
Aug 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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 347561 NY Primary

Addresses

Primary practice location

64 Cloverfield Rd S
Valley Stream, NY 11581-2424

Mailing address

64 Cloverfield Rd S
Valley Stream, NY 11581-2424
Phone (917) 225-8598

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
I20211112002154 NY Practitioner - Nurse Practitioner 2961891981 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Mercy College, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Expert Medical Services LLCGroup PAC ID 4284651738, 41 clinicians

Practice addresses (Care Compare)

33 Manors Dr
Jericho, NY 11753-1729
Phone 7182767935800

35 N Tyson Ave
Suite 100
Floral Park, NY 11001-1403
Phone (718) 276-7935

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
347561NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Expert Medical Services LLC CurrentSince Sep 5, 2024 Accepting new patients
Harlem Medical Associates PC CurrentSince Dec 3, 2023 Accepting new patients
New York City Health and Hospitals Corporation Past Accepting new patients
Expert Mobile Health PastSince Mar 19, 2023 Accepting new patients

Locations

35 N Tyson Ave
Ste 100
Floral Park, NY 11001
Phone (718) 276-7935

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: nbrissettwilliams1172074@nychhc.direct-ci.com
  • Direct secure messaging: nwilliams@landmarkhealth-direct.org

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1275208787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 CLOVERFIELD RD S",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115812424",
            "telephone_number": "917-225-8598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 CLOVERFIELD RD S",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115812424",
            "telephone_number": "917-225-8598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRISSETT-WILLIAMS",
        "first_name": "NADINE",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-16",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "347561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

Verify at the official NPI Registry.