Individual provider Active NPI

Josephine Pizzurro, RN MS PNP

  • Pediatric Nurse Practitioner
  • Deer Park, NY
National Provider Identifier
1629286653
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
381392 Issued in NY
Practice address
2017 Deer Park Ave
Deer Park, NY 11729-2721
Phone
(631) 586-4766
Fax
(631) 586-4219
NPI assigned
May 21, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

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
Pediatric Nurse Practitioner 363LP0200X 381392 NY Primary

Addresses

Primary practice location

2017 Deer Park Ave
Deer Park, NY 11729-2721

Mailing address

2017 Deer Park Ave
Deer Park, NY 11729-2721
Phone (631) 586-4766

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
I20250905003951 NY Practitioner - Nurse Practitioner 9436651775 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of New York at Stony Brook, School of Medicine, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

159 Carleton Ave
Central Islip, NY 11722-4172

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Long Island Select Healthcare, Inc. CurrentSince Jun 28, 2025 Accepting new patients
Long Island Select Healthcare, Inc. CurrentSince Jun 28, 2025 Accepting new patients

Locations

159 Carleton Ave
Central Islip, NY 11722
Phone (631) 439-4300

120 Plant Ave
Hauppauge, NY 11788
Phone (631) 273-1300

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CCJFAD

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629286653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2017 DEER PARK AVE",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117292721",
            "telephone_number": "631-586-4766",
            "fax_number": "631-586-4219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 DEER PARK AVE",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117292721",
            "telephone_number": "631-586-4766",
            "fax_number": "631-586-4219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIZZURRO",
        "first_name": "JOSEPHINE",
        "name_prefix": "Mrs.",
        "credential": "RN MS PNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "381392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deer Park, NY

Sources for this page

Verify at the official NPI Registry.