Individual provider Active NPI

Nancy Sanon, ANP, FNP

  • Adult Health Clinical Nurse Specialist
  • New York, NY
National Provider Identifier
1861639064
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X
License
F3033741 Issued in NY
Practice address
1 Penn PLZ
New York, NY 10119-0002
Phone
(516) 445-4589
NPI assigned
Jan 10, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X F3033741 NY
Family Nurse Practitioner 363LF0000X F337586-01 NY
Adult Health Clinical Nurse Specialist 364SA2200X F3033741 NY Primary

Addresses

Primary practice location

1 Penn PLZ
New York, NY 10119-0002

Mailing address

1074 Peninsula Blvd
Woodmere, NY 11598-1542
Phone (516) 445-4589

Other names 1

  • Dr. Nancy Sanon Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180814000403 NY Order and Referring Only - Nurse Practitioner 4385895465

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
303374NYMDOtolaryngology Physician
337586NYMDPsychiatry Physician
F337586-01NYMDFamily Nurse Practitioner
F3033741NYMDAdult Health Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1231545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1861639064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1074 PENINSULA BLVD",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981542",
            "telephone_number": "516-445-4589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PENN PLZ",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101190002",
            "telephone_number": "516-445-4589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANON",
        "first_name": "NANCY",
        "name_prefix": "Miss",
        "credential": "ANP, FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-10",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NY",
            "license": "F3033741",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F337586-01",
            "primary": false
        },
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "NY",
            "license": "F3033741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "SANON",
            "prefix": "DR.",
            "credential": "ANP, FNP-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.