NPIMap

Organization Active NPI

Fara Stricker Family Health Nurse Practitioner, P.C.

Doing business as Pura Vida Medical

  • Infusion Therapy Clinic/Center
  • Rockville Centre, NY
National Provider Identifier
1669162970
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X
Legal business name
FARA STRICKER FAMILY HEALTH NURSE PRACTITIONER, P.C.
Doing business as
Pura Vida Medical
Practice address
165 N Village Ave Ste 133
Rockville Centre, NY 11570-3701
Phone
(212) 803-3339
Fax
(646) 768-8600
NPI assigned
May 10, 2023
Last updated
May 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2023

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

Authorized official

Name
Ms. Fara Stricker, NP
Title
President
Phone
(516) 993-0345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X Primary

Addresses

Primary practice location

165 N Village Ave Ste 133
Rockville Centre, NY 11570-3701

Mailing address

165 N Village Ave Ste 133
Rockville Centre, NY 11570-3701
Phone (212) 803-3339

Other names 1

  • PURA VIDA MEDICAL Doing business as

National Provider Directory

National Provider Directory

Locations

165 N Village Ave
Ste 133
Rockville Ctr, NY 11570
Phone (516) 764-0879

Practitioners & affiliated clinicians

Practitioners 51

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 51

NPI Registry JSON

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

{
    "created_epoch": "1683676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683676800000",
    "number": "1669162970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 N VILLAGE AVE STE 133",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115703701",
            "telephone_number": "212-803-3339",
            "fax_number": "646-768-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 N VILLAGE AVE STE 133",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115703701",
            "telephone_number": "212-803-3339",
            "fax_number": "646-768-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARA STRICKER FAMILY HEALTH NURSE PRACTITIONER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-10",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A",
        "authorized_official_last_name": "STRICKER",
        "authorized_official_first_name": "FARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-993-0345",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PURA VIDA MEDICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockville Centre, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.

Verify at the official NPI Registry.