Active NPI
Vanessa Wejuli
- Family Nurse Practitioner
- Hauppauge, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 349483
- Practice address
- 960 Wheeler Rd Unit 5154
Hauppauge, NY 11788-6007 - Phone
- (631) 636-9018
- NPI assigned
- Mar 16, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 9716723 | NY | |
| Family Nurse Practitioner | 363LF0000X | 349483 | NY | Primary |
Addresses
Primary practice location
960 Wheeler Rd Unit 5154
Hauppauge, NY 11788-6007
Mailing address
960 Wheeler Rd Unit 5154
Hauppauge, NY 11788-6007
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 634823245 | Other | NY | NYS DRIVERS LISCENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9716723 | NY | MD | Home Health Registered Nurse |
| 349483 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bastidas Plastic Surgery, PC | Current | Accepting new patients | |
| Renew Wound Care of New Jersey LLC | Current | Accepting new patients | |
| Medicine Check PC | Current | Accepting new patients | |
| Wound Healing Associates PC | Current | Accepting new patients | |
| Renew Medical of New York, PLLC | Current | Accepting new patients | |
| Garden State Healthcare Associates, LLC | Current | Accepting new patients |
Locations
221 County Rd
#One
Cresskill, NJ 07626
Phone (201) 567-4444
290 Lafayette Ave
Hawthorne, NJ 07506
Phone (973) 423-0789
308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574
228 Roseberry St
Ste 5
Phillipsburg, NJ 08865
Phone (908) 213-3433
277 Route 70
Ste 231
Toms River, NJ 08755
Phone (212) 516-2300
1481 McDonald Ave
Brooklyn, NY 11230
Phone (347) 479-1110
691 92nd St
Brooklyn, NY 11228
Phone (718) 567-1000
250 Skillman St
Ste 204
Brooklyn, NY 11205
Phone (513) 341-7173
116 E 125th St
New York, NY 10035
Phone (212) 395-9000
284 Troy Rd
Rensselaer, NY 12144
Phone (518) 286-1621
385 Seneca Ave
Ridgewood, NY 11385
Phone (201) 843-7574
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1356979447
-
- Plastic Surgery Physician
- Paterson, NJ
- NPI 1053724674
-
- Emergency Medicine Physician
- Bayonne, NJ
- NPI 1700014545
-
- Family Medicine Physician
- Trenton, NJ
- NPI 1245815851
-
- Internal Medicine Physician
- Hawthorne, NJ
- NPI 1932585445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651104000000",
"number": "1811490733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "960 WHEELER RD UNIT 5154",
"city": "HAUPPAUGE",
"state": "NY",
"postal_code": "117886007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "960 WHEELER RD UNIT 5154",
"city": "HAUPPAUGE",
"state": "NY",
"postal_code": "117886007",
"telephone_number": "631-636-9018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEJULI",
"first_name": "VANESSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-16",
"last_updated": "2022-04-28",
"certification_date": "2022-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "NY",
"license": "9716723",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "349483",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS DRIVERS LISCENSE",
"identifier": "634823245",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hauppauge, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.