Joyce Olufunke Adedugbe, NP-C
Individual provider Active NPI Adult Health Nurse Practitioner · Lindenhurst, NY
NPI 1285889568 · NPPES record last updated Mar 28, 2024
Key facts
- NPI
- 1285889568
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- F304978 (NY)
- Practice address
- 150 E Sunrise Highway
Suite L20
Lindenhurst, NY 11757-2539 - Phone
- (631) 608-2878
- Fax
- (631) 608-2879
- NPI assigned
- Nov 30, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
150 Sunrise Hwy
Suite L20
Lindenhurst, NY 11757-2502
Phone (631) 608-2878
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100623000753 | NY | Practitioner - Nurse Practitioner | 2466583224 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F304978 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Long Island Spine Rehabilitation Medicine, PC | Past |
Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/15174/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 304978 | NY | |
| Adult Health Nurse Practitioner | 363LA2200X | F304978 | NY | Yes |
Addresses
Primary practice location
150 E Sunrise Highway
Suite L20
Lindenhurst, NY 11757-2539
Mailing address
437 Old Country Rd
Melville, NY 11747-1819
Phone (516) 205-2430
Other practice location 1
448 Griffing Ave
Riverhead, NY 11901-3012
Phone (631) 608-2878
Other providers in Lindenhurst, NY
- ABA for Kids Inc
- Teresa Abbamonte
- Ariel Lea Abraham
- Dean Adams
- Advance Physical Therapy, P.C.
- Stephanie Nicole Afonso
- January Cesar Agovino
- Christianah Agunloye
- Mahjabeen Ahmed
All providers in Lindenhurst, NY · Adult Health Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.