Individual provider Active NPI

Josephine Anna Posillico, N.P.

  • Gerontology Nurse Practitioner
  • Stony Brook, NY
National Provider Identifier
1306827217
Registry record updated Oct 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
F340136-1 Issued in NY
Practice address
Stony Brook Univ.Hospital-RM.15-082
Nicholls Rd
Stony Brook, NY 11794-0001
Phone
(631) 444-1242
Fax
(631) 444-1235
NPI assigned
Nov 8, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X F340136-1 NY Primary

Addresses

Primary practice location

Stony Brook Univ.Hospital-RM.15-082
Nicholls Rd
Stony Brook, NY 11794-0001

Mailing address

62 Jefferson Ave
Islip Terrace, NY 11752-2607
Phone (631) 444-1242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F340136-1NYMDGerontology Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224720000000",
    "number": "1306827217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 JEFFERSON AVE",
            "city": "ISLIP TERRACE",
            "state": "NY",
            "postal_code": "117522607",
            "telephone_number": "631-444-1242",
            "fax_number": "631-444-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STONY BROOK UNIV.HOSPITAL-RM.15-082",
            "address_2": "NICHOLLS RD",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117940001",
            "telephone_number": "631-444-1242",
            "fax_number": "631-444-1235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POSILLICO",
        "first_name": "JOSEPHINE",
        "middle_name": "ANNA",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-08",
        "last_updated": "2008-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NY",
            "license": "F340136-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stony Brook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2008; 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.