Individual provider Active NPI

Victoria Jane Cully, NP

  • Adult Health Nurse Practitioner
  • Bay Shore, NY
National Provider Identifier
1679453658
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
312427 Issued in NY
Practice address
40 E Main St
Bay Shore, NY 11706-8301
Phone
(631) 376-6075
NPI assigned
Sep 2, 2025
Last updated
May 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 312427 NY Primary

Addresses

Primary practice location

40 E Main St
Bay Shore, NY 11706-8301

Mailing address

40 E Main St
Bay Shore, NY 11706-8301
Phone (631) 376-6075

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

330 Carnation Rd
West Islip, NY 11795-2802

40 E Main St
Bay Shore, NY 11706-8301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
312427NYMDSchool Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Victoria Cully Nurse Practitioner in Adult Health PLLC Adult Health CurrentSince Sep 8, 2025 Accepting new patients

Organizations & group practices 1

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": "1756771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1679453658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 E MAIN ST",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068301",
            "telephone_number": "631-376-6075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 E MAIN ST",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068301",
            "telephone_number": "631-376-6075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULLY",
        "first_name": "VICTORIA",
        "middle_name": "JANE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-02",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "312427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Shore, NY

Sources for this page

Verify at the official NPI Registry.