Individual provider Active NPI

Christopher Zeoli, NPP

  • Psychiatric/Mental Health Nurse Practitioner
  • Copiague, NY
National Provider Identifier
1477595114
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F400793 Issued in NY
Practice address
445 Oak St
Fegs Counseling Center
Copiague, NY 11726-3111
Phone
(631) 691-7080
NPI assigned
Jun 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 F400793 NY Primary

Addresses

Primary practice location

445 Oak St
Fegs Counseling Center
Copiague, NY 11726-3111

Mailing address

2 Vermont Ave
Port Jefferson Station, NY 11776-6116
Phone (631) 476-1410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060822000093 NY Practitioner - Nurse Practitioner 1557364148 Reassigns benefits to 1 organization
I20201217000277 FL Practitioner - Nurse Practitioner 1557364148 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCCD FL Psychiatry Services PAGroup PAC ID 4880064070, 751 clinicians

Practice addresses (Care Compare)

101 N Monroe St
Suite 800 Private Office 860
Tallahassee, FL 32301-1570
Phone (833) 351-8255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F400793NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Magdan LLC Psychiatric/Mental Health CurrentSince Jul 1, 2023 Accepting new patients
MCCD FL Psychiatry Services PA CurrentSince Jan 13, 2026 Accepting new patients
Mental Health Specialty Group PA CurrentSince Apr 16, 2025 Accepting new patients
Magdan LLC CurrentSince Jul 1, 2023 Accepting new patients
Bay Shore Medical Services, P.C. Past Accepting new patients
Genoa Healthcare LLC Past Accepting new patients

Locations

9405 Cypress Lake Dr
Ste 2
Fort Myers, FL 33919
Phone (239) 946-4131

1301 Riverplace Blvd
Jacksonville, FL 32207

101 N Monroe St
Ste 800
Tallahassee, FL 32301
Phone (321) 300-2108

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477595114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 VERMONT AVE",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117766116",
            "telephone_number": "631-476-1410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 OAK ST",
            "address_2": "FEGS COUNSELING CENTER",
            "city": "COPIAGUE",
            "state": "NY",
            "postal_code": "117263111",
            "telephone_number": "631-691-7080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEOLI",
        "first_name": "CHRISTOPHER",
        "credential": "NPP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F400793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Copiague, NY

Sources for this page

Verify at the official NPI Registry.