Organization Active NPI

Nyrie Austin Nurse Practitioner in Family Health P.C.

  • Family Nurse Practitioner
  • New Rochelle, NY
National Provider Identifier
1376201491
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
NYRIE AUSTIN NURSE PRACTITIONER IN FAMILY HEALTH P.C.
Practice address
3 Church St Ste 858
New Rochelle, NY 10801-6301
Phone
(516) 427-0374
NPI assigned
Dec 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Authorized official

Name
Nyrie Austin, NPNPI 1255832002
Title
Nurse Practitioner
Phone
(551) 502-8360

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

3 Church St Ste 858
New Rochelle, NY 10801-6301

Mailing address

3-18 Cyril Ave
Fair Lawn, NJ 07410-2021
Phone (516) 427-0374

Other names 1

  • Derma Heal Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221216000699 NY Part B Supplier - Clinic/Group Practice 3173992989 Receives reassigned benefits from 1 practitioner
Practice locations: Bronx, NY

National Provider Directory

National Provider Directory

Locations

3 Church St
Ste 858
New Rochelle, NY 10801
Phone (516) 427-0374

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1638748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674432000000",
    "number": "1376201491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3-18 CYRIL AVE",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074102021",
            "telephone_number": "516-427-0374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CHURCH ST STE 858",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108016301",
            "telephone_number": "516-427-0374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYRIE AUSTIN NURSE PRACTITIONER IN FAMILY HEALTH P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-06",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A",
        "authorized_official_last_name": "AUSTIN",
        "authorized_official_first_name": "NYRIE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "551-502-8360",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Derma Heal",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Rochelle, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.