Individual provider Active NPI

Angela V Guerrazzi, PSYCHIATRIC NURSE PR

  • Psychiatric/Mental Health Nurse Practitioner
  • Mount Sinai, NY
National Provider Identifier
1396803540
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F400434 Issued in NY
Practice address
69 Grasslands Circle
Mount Sinai, NY 11766
Phone
(631) 807-1726
Fax
(631) 828-4245
NPI assigned
Dec 4, 2006
Last updated
Aug 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F4004341 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F400434 NY Primary

Addresses

Primary practice location

69 Grasslands Circle
Mount Sinai, NY 11766

Mailing address

69 Grasslands Cir
Mount Sinai, NY 11766-1862
Phone (631) 807-1726

Other identifiers 1

IdentifierTypeStateIssuer
02585528MedicaidNY

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
I20050827000072 NY Practitioner - Nurse Practitioner 3577594779 Practice locations: Port Jefferson, NY

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of New York at Stony Brook, School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1000 Main St
Suite 3
Port Jefferson, NY 11777-2250
Phone (631) 807-1726

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F4004341NYMDNurse Practitioner
F400434NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Robert M Woznicki MD PC Past 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1396803540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 GRASSLANDS CIR",
            "city": "MOUNT SINAI",
            "state": "NY",
            "postal_code": "117661862",
            "telephone_number": "631-807-1726",
            "fax_number": "631-828-8601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 GRASSLANDS CIRCLE",
            "city": "MOUNT SINAI",
            "state": "NY",
            "postal_code": "11766",
            "telephone_number": "631-807-1726",
            "fax_number": "631-828-4245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRAZZI",
        "first_name": "ANGELA",
        "middle_name": "V",
        "credential": "PSYCHIATRIC NURSE PR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F4004341",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F400434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02585528",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Sinai, NY

Sources for this page

Verify at the official NPI Registry.