Active NPI
Sharon Joy Zeoli, NP
- Nurse Practitioner
- Smithtown, NY
National Provider Identifier
1780223263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 309285
- Practice address
- 895 W Jericho Tpke
Smithtown, NY 11787-3229 - Phone
- (631) 982-2022
- Fax
- (631) 982-2024
- NPI assigned
- Dec 31, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 309285 | NY | Primary |
Addresses
Primary practice location
895 W Jericho Tpke
Smithtown, NY 11787-3229
Mailing address
2 Vermont Ave
Port Jefferson Station, NY 11776-6116
Phone (631) 678-1763
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 309285 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577750400000",
"number": "1780223263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 VERMONT AVE",
"city": "PORT JEFFERSON STATION",
"state": "NY",
"postal_code": "117766116",
"telephone_number": "631-678-1763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "895 W JERICHO TPKE",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117873229",
"telephone_number": "631-982-2022",
"fax_number": "631-982-2024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZEOLI",
"first_name": "SHARON",
"middle_name": "JOY",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-31",
"last_updated": "2019-12-31",
"certification_date": "2019-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "309285",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Smithtown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.