Ebc Health

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F334247 Issued in NY

Legal business name

EBC HEALTH

Practice address

135 Park Blvd
Massapequa Park, NY 11762-3643

Phone

(516) 524-0665

NPI assigned

May 19, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Brendan J Keys Sr., NP

Title

Owner

Phone

(516) 524-0665

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1639336589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 FILLMORE ST",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117621513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 PARK BLVD",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117623643",
            "telephone_number": "516-524-0665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBC HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "KEYS",
        "authorized_official_first_name": "BRENDAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-524-0665",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F334247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02523857",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0472G1",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Denise Doughty, RN
• Daniel H Dzen
• A'Leah Dzikowski
• Siobhan Eareckson
• Janice Ann Eaton, M.A.CCC-SLP
• Naima Elahi, D.O
• Lois Peck Elhilow
• Rachel Eljashev, M.D.
• Empire Vision Center Inc
• Equilibrio Nurse Practitioner in Psychiatry PLLC

• Family Nurse Practitioner in Massapequa Park, NY
• Providers in Massapequa Park, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.