Organization Active NPI

BC Nurse Practitioner in Adult Health PLLC

  • Adult Health Nurse Practitioner
  • Rockville Centre, NY
National Provider Identifier
1831997303
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
BC NURSE PRACTITIONER IN ADULT HEALTH PLLC
Practice address
14 Jackson Ave
Rockville Centre, NY 11570-3110
Phone
(516) 474-5085
Fax
(516) 570-8877
NPI assigned
Mar 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Authorized official

Name
Brian CujilanNPI 1376319210
Title
Owner
Phone
(516) 474-5080

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
Adult Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2200X Primary

Addresses

Primary practice location

14 Jackson Ave
Rockville Centre, NY 11570-3110

Mailing address

14 Jackson Ave
Rockville Centre, NY 11570-3110
Phone (516) 474-5080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250506002610 NY Part B Supplier - Clinic/Group Practice 3779000450 Receives reassigned benefits from 1 practitioner
Practice locations: Rockville Centre, NY

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": "1740960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746057600000",
    "number": "1831997303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 JACKSON AVE",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115703110",
            "telephone_number": "516-474-5080",
            "fax_number": "516-570-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 JACKSON AVE",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115703110",
            "telephone_number": "516-474-5085",
            "fax_number": "516-570-8877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BC NURSE PRACTITIONER IN ADULT HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-03",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A",
        "authorized_official_last_name": "CUJILAN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-474-5080"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville Centre, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.