Island Nurse Practitioner in Family Health, PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F334736 Issued in NY

Legal business name

ISLAND NURSE PRACTITIONER IN FAMILY HEALTH, PLLC

Practice address

3700 Richmond Ave
Staten Island, NY 10312-3836

Phone

(718) 980-6103

NPI assigned

Jul 22, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Melissa Lanza, NPNPI 1386836104

Title

Owner

Phone

(718) 980-6103

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 4

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

• Melissa Lanza

  • Family Nurse Practitioner
  • Staten Island, NY
  • NPI 1386836104
  Medicare reassignment NPD Authorized official
• Prasanna K Babu

  • Family Nurse Practitioner
  • New York, NY
  • NPI 1306031737
  NPD (past)
• Theodora Montell Cross, RN,MS,CNS,ANP-BC,CDE

  • Adult Health Nurse Practitioner
  • Staten Island, NY
  • NPI 1972751691
  NPD (past)
• Joseph W Roberts MD, MD

  • Specialist
  • Staten Island, NY
  • NPI 1649340589
  NPD (past)

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

{
    "created_epoch": "1279756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308182400000",
    "number": "1740593474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 MASON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103052222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 RICHMOND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103123836",
            "telephone_number": "718-980-6103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND NURSE PRACTITIONER IN FAMILY HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-22",
        "last_updated": "2011-06-16",
        "status": "A",
        "authorized_official_last_name": "LANZA",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-980-6103",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F334736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Island Internist PC
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• Island Men'S Medical Health Practice, PC
• Island Nephrology Services, PC
• Island Obstetrics and Gynecology
• Island Pediatrics, P.C.
• Island Professional Acupuncture PC
• Island Rehab PT OT PLLC
• Island Rehabilitative Services Corp

• Family Nurse Practitioner in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.