Individual provider Active NPI

Nancy Candio Duplessy, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Elmont, NY
National Provider Identifier
1477949022
Registry record updated Oct 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F345330-01 Issued in NY
Practice address
11734 240TH St
Elmont, NY 11003-4016
Phone
(516) 360-4327
NPI assigned
Apr 10, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 698239-1 NY
Family Nurse Practitioner 363LF0000X F345330-01 NY Primary

Addresses

Primary practice location

11734 240TH St
Elmont, NY 11003-4016

Mailing address

11734 240TH St
Elmont, NY 11003-4016
Phone (516) 360-4327

Other identifiers 1

IdentifierTypeStateIssuer
0000OtherNYN/A

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
I20200505001972 NY Practitioner - Nurse Practitioner 3678904786 Reassigns benefits to 3 organizations
Practice locations: Elmont, NY

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
698239-1NYMDRegistered Nurse
F345330-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Divinity Medical Services PLLC CurrentSince Mar 24, 2020 Accepting new patients
Cross Island Medical LLC CurrentSince Jun 1, 2020 Accepting new patients
Nancy Candio Duplessy Nurse Practitioner in Family Health PLLC CurrentSince Oct 19, 2020 Accepting new patients
Access Family Health NP PLLC Family CurrentSince Jan 19, 2023 Accepting new patients

Locations

3379 Crompond Rd
Yorktown Hts, NY 10598
Phone (914) 245-1111

Organizations & group practices 4

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": "1428624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602460800000",
    "number": "1477949022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11734 240TH ST",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110034016",
            "telephone_number": "516-360-4327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11734 240TH ST",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110034016",
            "telephone_number": "516-360-4327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUPLESSY",
        "first_name": "NANCY",
        "middle_name": "CANDIO",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-10",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "698239-1",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F345330-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "0000",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmont, NY

Sources for this page

Verify at the official NPI Registry.