Organization Active NPI

Jenny Delaleu Nurse Practitioner in Family Health PLLC

  • Family Medicine Physician
  • Freeport, NY
National Provider Identifier
1578953501
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
F334623 Issued in NY
Legal business name
JENNY DELALEU NURSE PRACTITIONER IN FAMILY HEALTH PLLC
Practice address
294 W Merrick Rd Ste 1
Freeport, NY 11520-3357
Phone
(516) 279-5484
Fax
(516) 589-7569
NPI assigned
Jan 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Authorized official

Name
Jenny Delaleu
Title
Owner
Phone
(516) 279-5484

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Health EducatorGroup: 193200000X MULTI-SPECIALTY GROUP 174H00000X F334623 NY
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X F334623 NY Primary
Health Service Clinic/Center 261QH0100X F334623 NY

Addresses

Primary practice location

294 W Merrick Rd Ste 1
Freeport, NY 11520-3357

Mailing address

53 E Merrick Rd
#134
Freeport, NY 11520-4056
Phone (516) 279-5484

Other identifiers 1

IdentifierTypeStateIssuer
1437284551OtherNYNPI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717113600000",
    "number": "1578953501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 E MERRICK RD",
            "address_2": "#134",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115204056",
            "telephone_number": "516-279-5484",
            "fax_number": "516-589-7569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "294 W MERRICK RD STE 1",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203357",
            "telephone_number": "516-279-5484",
            "fax_number": "516-589-7569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNY DELALEU NURSE PRACTITIONER IN FAMILY HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-29",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A",
        "authorized_official_last_name": "DELALEU",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-279-5484"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": "NY",
            "license": "F334623",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "F334623",
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NY",
            "license": "F334623",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1437284551",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Freeport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; 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.