Individual provider Active NPI

Sean Dellasperanzo, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Massapequa Park, NY
National Provider Identifier
1689184459
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
402767 Issued in NY
Practice address
4770 Sunrise Hwy
Massapequa Park, NY 11762-2911
Phone
(516) 500-1105
Fax
(516) 385-1550
NPI assigned
Oct 6, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 402767 NY Primary

Addresses

Primary practice location

4770 Sunrise Hwy
Massapequa Park, NY 11762-2911

Mailing address

422 Old Farmingdale Rd
West Babylon, NY 11704-6424
Phone (631) 500-1105

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://equilibrio-nurse-practitioner-in-psychiatry-pllc.clientsecure.me/documents Health Information Exchange (HIE)

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
I20200226000768 NY Practitioner - Nurse Practitioner 1759718018 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Equilibrio Nurse Practitioner in Psychiatry PLLC Current Accepting new patients
Long Island Community Hospital at NYU Langone Health CurrentSince Jan 4, 2020 Accepting new patients
Brookhaven Memorial Hospital Medical Center, Inc. Current Accepting new patients
New York University CurrentSince Feb 15, 2021 Accepting new patients
Brookhaven Memorial Hospital Medical Center, Inc. CurrentSince Jan 4, 2020 Accepting new patients
New York University CurrentSince Feb 15, 2021 Accepting new patients

Locations

4770 Sunrise Hwy
Ste 105
Massapequa Park, NY 11762
Phone (516) 500-1105

222 Station Plz N
Ste 350A
Mineola, NY 11501
Phone (516) 373-9334

101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100

13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1507248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1689184459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 OLD FARMINGDALE RD",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117046424",
            "telephone_number": "631-500-1105",
            "fax_number": "516-385-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4770 SUNRISE HWY",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117622911",
            "telephone_number": "516-500-1105",
            "fax_number": "516-385-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELLASPERANZO",
        "first_name": "SEAN",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-06",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "402767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://equilibrio-nurse-practitioner-in-psychiatry-pllc.clientsecure.me/documents",
            "affiliation": "N",
            "endpointDescription": "Simple Practice",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "4770 Sunrise Hwy",
            "city": "Massapequa Park",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117622911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Massapequa Park, NY

Sources for this page

Verify at the official NPI Registry.