Organization Active NPI

Blue Sky Family Health Nurse Practitioner PLLC

  • Nurse Practitioner
  • Massapequa, NY
National Provider Identifier
1790493286
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
BLUE SKY FAMILY HEALTH NURSE PRACTITIONER PLLC
Practice address
218 N Wyoming Ave
Massapequa, NY 11758-1567
Phone
(516) 517-6444
NPI assigned
Nov 14, 2022
Last updated
Nov 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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

Authorized official

Name
Caroline Finman
Title
Administrator
Phone
(516) 517-6444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X Primary

Addresses

Primary practice location

218 N Wyoming Ave
Massapequa, NY 11758-1567

Mailing address

165 N Village Ave Ste 12
Rockville Ctr, NY 11570-3701
Phone (516) 517-6444

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address skaur@corehealthmanagement.org Direct

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: skaur@corehealthmanagement.org

NPI Registry JSON

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

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668384000000",
    "number": "1790493286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 N VILLAGE AVE STE 12",
            "city": "ROCKVILLE CTR",
            "state": "NY",
            "postal_code": "115703701",
            "telephone_number": "516-517-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 N WYOMING AVE",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117581567",
            "telephone_number": "516-517-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SKY FAMILY HEALTH NURSE PRACTITIONER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-14",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A",
        "authorized_official_last_name": "FINMAN",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "516-517-6444"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "skaur@corehealthmanagement.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "218 N Wyoming Ave",
            "city": "Massapequa",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117581567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Massapequa, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; 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.