Organization Active NPI

Peddycoart NP in Family Healthp C

  • Multi-Specialty Clinic/Center
  • Massapequa, NY
National Provider Identifier
1831048982
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
PEDDYCOART NP IN FAMILY HEALTHP C
Practice address
5 Beach Rd
Massapequa, NY 11758-6614
Phone
(631) 655-5255
NPI assigned
Jan 22, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Authorized official

Name
Ms. Danielle Peddycoart, NPNPI 1619695475
Title
NP
Phone
(631) 655-5255

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

5 Beach Rd
Massapequa, NY 11758-6614

Mailing address

5 Beachrd
Massapeuqa, NY 11758
Phone (631) 655-5255

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1769040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769040000000",
    "number": "1831048982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BEACHRD",
            "city": "MASSAPEUQA",
            "state": "NY",
            "postal_code": "11758",
            "telephone_number": "631-655-5255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 BEACH RD",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117586614",
            "telephone_number": "631-655-5255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDDYCOART NP IN FAMILY HEALTHP C",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-22",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-20",
        "status": "A",
        "authorized_official_last_name": "PEDDYCOART",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "631-655-5255",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Jan 22, 2026; 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.