Active NPI
Blue Sky Family Health Nurse Practitioner PLLC
- Nurse Practitioner
- Massapequa, NY
National Provider Identifier
1790493286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | skaur@corehealthmanagement.org | Direct |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- 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.