Individual provider Active NPI

Luz P. Gargiullo, NURSE PRACTITIONER

  • Adult Health Nurse Practitioner
  • North Bellmore, NY
National Provider Identifier
1306808431
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F300398-01 Issued in NY
Practice address
1099 Olympia Rd
North Bellmore, NY 11710-1938
Phone
(516) 729-9261
Fax
(516) 221-6881
NPI assigned
Apr 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X F340044-2 NY
Gerontology Nurse Practitioner 363LG0600X F34-00442 NY
Gerontology Nurse Practitioner 363LG0600X F340044-1 NY
Adult Health Nurse Practitioner 363LA2200X F300398-01 NY Primary

Addresses

Primary practice location

1099 Olympia Rd
North Bellmore, NY 11710-1938

Mailing address

1099 Olympia Rd
North Bellmore, NY 11710-1938
Phone (516) 729-9261

Other practice location 1

69 S Broadway
Yonkers, NY 10701-4004
Phone (914) 376-5555

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
I20060428000291 NY Practitioner - Nurse Practitioner 5799795134 Practice locations: North Bellmore, NY

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
340044NYMDUrology Physician
F300398-01NYMDAdult Health Nurse Practitioner
F34-00442NYMDGerontology Nurse Practitioner
F340044-1NYMDGerontology Nurse Practitioner
F340044-2NYMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Later Years Geriatric Consulting Services CurrentSince Aug 25, 2025 Accepting new patients

Organizations & group practices 1

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": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1306808431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1099 OLYMPIA RD",
            "city": "NORTH BELLMORE",
            "state": "NY",
            "postal_code": "117101938",
            "telephone_number": "516-729-9261",
            "fax_number": "516-221-6881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1099 OLYMPIA RD",
            "city": "NORTH BELLMORE",
            "state": "NY",
            "postal_code": "117101938",
            "telephone_number": "516-729-9261",
            "fax_number": "516-221-6881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "69 S Broadway",
            "address_purpose": "LOCATION",
            "city": "Yonkers",
            "state": "NY",
            "postal_code": "107014004",
            "country_code": "US",
            "telephone_number": "914-376-5555",
            "fax_number": "914-964-1477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARGIULLO",
        "first_name": "LUZ",
        "middle_name": "P.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-04",
        "last_updated": "2022-07-21",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NY",
            "license": "F340044-2",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NY",
            "license": "F34-00442",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NY",
            "license": "F340044-1",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F300398-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bellmore, NY

Sources for this page

Verify at the official NPI Registry.