Individual provider Active NPI

Deborah Enea, RN,NPP

  • Psychiatric/Mental Health Nurse Practitioner
  • West Islip, NY
National Provider Identifier
1326379215
Registry record updated Aug 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
400246 Issued in NY
Practice address
24 Paprocki Ave
West Islip, NY 11795-2915
Phone
(516) 380-3723
Fax
(631) 661-1094
NPI assigned
Jan 17, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 400246 NY Primary

Addresses

Primary practice location

24 Paprocki Ave
West Islip, NY 11795-2915

Mailing address

24 Paprocki Ave
West Islip, NY 11795-2915
Phone (516) 380-3723

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
400246NYMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1263686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598140800000",
    "number": "1326379215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 PAPROCKI AVE",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117952915",
            "telephone_number": "516-380-3723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 PAPROCKI AVE",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117952915",
            "telephone_number": "516-380-3723",
            "fax_number": "631-661-1094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENEA",
        "first_name": "DEBORAH",
        "credential": "RN,NPP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-17",
        "last_updated": "2020-08-23",
        "certification_date": "2020-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "400246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Islip, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2020; 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.