Organization Active NPI

Mervilus-Bigord NP in Family Health, P.C.

  • Skilled Nursing Facility
  • Staten Island, NY
National Provider Identifier
1619681558
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MERVILUS-BIGORD NP IN FAMILY HEALTH, P.C.
Practice address
135 Vanderbilt Ave
Staten Island, NY 10304-2604
Phone
(718) 447-0701
NPI assigned
Jan 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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

Authorized official

Name
Mrs. Sandra Mervilus-Bigord, NPNPI 1588284798
Title
Ceo
Phone
(347) 881-5586

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

135 Vanderbilt Ave
Staten Island, NY 10304-2604

Mailing address

333 Drake Ave
Roselle, NJ 07203-1413
Phone (347) 881-5586

Other practice location 1

25 Fanning St
Staten Island, NY 10314-5307
Phone (718) 289-7900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230306001186 NY Part B Supplier - Clinic/Group Practice 7214300672 Receives reassigned benefits from 2 practitioners
Practice locations: Great Neck, NY; Staten Island, NY

National Provider Directory

National Provider Directory

Locations

25 Fanning St
Staten Island, NY 10314
Phone (347) 671-8399

Practitioners & affiliated clinicians

Practitioners 2

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": "1672876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676332800000",
    "number": "1619681558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 DRAKE AVE",
            "city": "ROSELLE",
            "state": "NJ",
            "postal_code": "072031413",
            "telephone_number": "347-881-5586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 VANDERBILT AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103042604",
            "telephone_number": "718-447-0701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Fanning St",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103145307",
            "country_code": "US",
            "telephone_number": "718-289-7900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MERVILUS-BIGORD NP IN FAMILY HEALTH, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-05",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A",
        "authorized_official_last_name": "MERVILUS-BIGORD",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "347-881-5586",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; 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.