Stephanie M Novembre

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

345516 Issued in NY

Practice address

78A N Boundary Rd
Jamaica, NY 11430-1820

Phone

(718) 656-1245

NPI assigned

Mar 22, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Citimed Complete Medical Care PC

  • Clinic/Center
  • Rego Park, NY
  • NPI 1316543085
  NPD (past)

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

{
    "created_epoch": "1647907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1306595616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 E LINCOLN AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805904",
            "telephone_number": "347-531-3611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78A N BOUNDARY RD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114301820",
            "telephone_number": "718-656-1245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVEMBRE",
        "first_name": "STEPHANIE",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-22",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "345516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northwell Staffing Agency LLC
• Edith Nottage, CRNA
• Noun Ny LLC
• Mohsen Nouri, M.D.
• Nova Medical Diagnostic Practice PLLC
• Anastasia Novikov, MD
• Brigid Nugent, LCSW
• Brittany Nunez
• Keishawna Orika Nurse, RN
• Mohammed Nuruddin, RPH1010

• Family Nurse Practitioner in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.