Active NPI
Nadege Celestin, NP
- Family Nurse Practitioner
- Commack, NY
National Provider Identifier
1639956725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 350326
- Practice address
- 5036 Jericho Tpke Ste 205
Commack, NY 11725-2812 - Phone
- (631) 385-8000
- Fax
- (516) 307-8840
- NPI assigned
- Sep 12, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 350326 | NY | Primary |
Addresses
Primary practice location
5036 Jericho Tpke Ste 205
Commack, NY 11725-2812
Mailing address
PO Box 310
Plainview, NY 11803-0310
Phone (516) 663-6400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 350326 | NY | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694476800000",
"number": "1639956725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 310",
"city": "PLAINVIEW",
"state": "NY",
"postal_code": "118030310",
"telephone_number": "516-663-6400",
"fax_number": "516-307-8840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5036 JERICHO TPKE STE 205",
"city": "COMMACK",
"state": "NY",
"postal_code": "117252812",
"telephone_number": "631-385-8000",
"fax_number": "516-307-8840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CELESTIN",
"first_name": "NADEGE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-12",
"last_updated": "2023-09-12",
"certification_date": "2023-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "350326",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Commack, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.