Organization Active NPI

Queens Neighborhood NP in Family and Womens Health Care PLLC

  • Primary Care Nurse Practitioner
  • Wantagh, NY
National Provider Identifier
1689565194
Registry record updated Jul 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
QUEENS NEIGHBORHOOD NP IN FAMILY AND WOMENS HEALTH CARE PLLC
Practice address
3022 Merrick Rd
Wantagh, NY 11793-4320
Phone
(631) 867-2695
NPI assigned
Jul 12, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2025

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

Authorized official

Name
Jean Marie
Title
Employee
Phone
(631) 867-2695

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X Primary
Women's Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LW0102X

Addresses

Primary practice location

3022 Merrick Rd
Wantagh, NY 11793-4320

Mailing address

3022 Merrick Rd
Wantagh, NY 11793-4320

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1752278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752278400000",
    "number": "1689565194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3022 MERRICK RD",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117934320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3022 MERRICK RD",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117934320",
            "telephone_number": "631-867-2695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS NEIGHBORHOOD NP IN FAMILY AND WOMENS HEALTH CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-12",
        "last_updated": "2025-07-12",
        "certification_date": "2025-07-12",
        "status": "A",
        "authorized_official_last_name": "MARIE",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "EMPLOYEE",
        "authorized_official_telephone_number": "631-867-2695"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wantagh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2025; 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.