NPIMap

Organization Active NPI

Nurse Practitioner Adult and Family Services PLLC

Doing business as Fulton Avenue HealthCare

  • Family Nurse Practitioner
  • Hempstead, NY
National Provider Identifier
1528227568
Registry record updated Apr 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
333895 Issued in NY
Legal business name
NURSE PRACTITIONER ADULT AND FAMILY SERVICES PLLC
Doing business as
Fulton Avenue HealthCare
Practice address
72 Fulton Ave
Suite 300
Hempstead, NY 11550-3651
Phone
(516) 385-2920
Fax
(516) 385-2293
NPI assigned
Jun 5, 2008
Last updated
Apr 6, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2010

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

Authorized official

Name
Ms. Diane Sentell Harper, ANP
Title
Manager
Phone
(516) 385-2920

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 300692 NY
Family Nurse Practitioner 363LF0000X 333895 NY Primary

Addresses

Primary practice location

72 Fulton Ave
Suite 300
Hempstead, NY 11550-3651

Mailing address

72 Fulton Ave
Suite 300
Hempstead, NY 11550-3651
Phone (516) 385-2920

Other identifiers 2

IdentifierTypeStateIssuer
02739480MedicaidNY
01973380MedicaidNY

Other names 1

  • Fulton Avenue HealthCare Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Fulton Avenue Healthcare2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270512000000",
    "number": "1528227568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 FULTON AVE",
            "address_2": "SUITE 300",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115503651",
            "telephone_number": "516-385-2920",
            "fax_number": "516-385-2293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 FULTON AVE",
            "address_2": "SUITE 300",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115503651",
            "telephone_number": "516-385-2920",
            "fax_number": "516-385-2293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURSE PRACTITIONER ADULT AND FAMILY SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-05",
        "last_updated": "2010-04-06",
        "status": "A",
        "authorized_official_last_name": "HARPER",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "SENTELL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "516-385-2920",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ANP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "300692",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "333895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02739480",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01973380",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fulton Avenue HealthCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hempstead, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.