Organization Active NPI

Night Lite Pediatric Center, LLC

  • Pediatrics Physician
  • Apopka, FL
National Provider Identifier
1407974579
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME0061521 Issued in FL
Legal business name
NIGHT LITE PEDIATRIC CENTER, LLC
Practice address
620 S Hunt Club Blvd
Apopka, FL 32703-4958
Phone
(407) 478-5955
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Authorized official

Name
Kristen Hanly
Title
Director of RCM Operations
Phone
(516) 207-7919

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X ME0061521 FL Primary

Addresses

Primary practice location

620 S Hunt Club Blvd
Apopka, FL 32703-4958

Mailing address

1 Hollow LN Ste 301
New Hyde Park, NY 11042-1215
Phone (516) 207-7936

Other practice location 1

145 Palm Bay Rd NE
Melbourne, FL 32904-8601
Phone (321) 608-3595

Other practice location 2

11325 Lake Underhill Rd Ste 103
Orlando, FL 32825-5090
Phone (407) 398-6702

Other practice location 3

2322 E Irlo Bronson Memorial Hwy
Kissimmee, FL 34744-5401
Phone (407) 279-5950

Other practice location 4

131 SW Port St Lucie Blvd
Port St Lucie, FL 34984-5042
Phone (772) 807-1580

Other practice location 5

10325 San Jose Blvd
Jacksonville, FL 32257-6204
Phone (904) 717-1034

Other practice location 6

1267 W Osceola Pkwy
Kissimmee, FL 34741-7556
Phone (407) 569-0220

Other practice location 7

13750 W Colonial Dr Ste 250
Winter Garden, FL 34787-6142
Phone (407) 905-4717

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210330002022 FL Part B Supplier - Clinic/Group Practice 1456768977 Practice locations: Kissimmee, FL; Orlando, FL; Port Saint Lucie, FL

National Provider Directory

National Provider Directory

Locations

5992 Coral Ridge Dr
#11
Coral Springs, FL 33076

10325 San Jose Blvd
Jacksonville, FL 32257
Phone (321) 608-3595

2322 E Irlo Bronson Memorial Hwy
Kissimmee, FL 34744
Phone (407) 279-5950

145 Palm Bay Rd NE
Ste 112
Melbourne, FL 32904

145 Palm Bay Rd NE
Ste 111
West Melbourne, FL 32904
Phone (321) 608-3595

13750 W Colonial Dr
Ste 250
Winter Garden, FL 34787

25311 Hillside Ave
Bellerose, NY 11426

181 Old Country Rd
Carle Place, NY 11514
Phone (516) 248-5437

6218 Jericho Tpke
Commack, NY 11725
Phone (631) 499-5437

5050 Sunrise Hwy
Massapequa Park, NY 11762
Phone (516) 541-5437

1130 Deer Park Ave
North Babylon, NY 11703
Phone (631) 667-4767

Practitioners & affiliated clinicians

Practitioners 79

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

View all 79

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787184000000",
    "number": "1407974579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HOLLOW LN STE 301",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421215",
            "telephone_number": "516-207-7936",
            "fax_number": "516-207-7936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 S HUNT CLUB BLVD",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327034958",
            "telephone_number": "407-478-5955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "145 Palm Bay Rd NE",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329048601",
            "country_code": "US",
            "telephone_number": "321-608-3595",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11325 Lake Underhill Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328255090",
            "country_code": "US",
            "telephone_number": "407-398-6702",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2322 E Irlo Bronson Memorial Hwy",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347445401",
            "country_code": "US",
            "telephone_number": "407-279-5950",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "131 SW Port St Lucie Blvd",
            "address_purpose": "LOCATION",
            "city": "Port St Lucie",
            "state": "FL",
            "postal_code": "349845042",
            "country_code": "US",
            "telephone_number": "772-807-1580",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10325 San Jose Blvd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322576204",
            "country_code": "US",
            "telephone_number": "904-717-1034",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1267 W Osceola Pkwy",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347417556",
            "country_code": "US",
            "telephone_number": "407-569-0220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13750 W Colonial Dr Ste 250",
            "address_purpose": "LOCATION",
            "city": "Winter Garden",
            "state": "FL",
            "postal_code": "347876142",
            "country_code": "US",
            "telephone_number": "407-905-4717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NIGHT LITE PEDIATRIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A",
        "authorized_official_last_name": "HANLY",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "DIRECTOR OF RCM OPERATIONS",
        "authorized_official_telephone_number": "516-207-7919"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME0061521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apopka, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; 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.