Peter Sperico Nurse Practitioner in F

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

336101 Issued in NY

Legal business name

PETER SPERICO NURSE PRACTITIONER IN F

Practice address

1056 Gardiner Drive
Peter Sperico Nurse Practitioner in Family Health PC
Bay Shore, NY 11706-6314

Phone

(516) 455-3413

Fax

(631) 969-0093

NPI assigned

Apr 1, 2011

Organization subpart

Yes

Parent organization

PETER SPERICO NURSE PRACTITIONER IN FAMILY HEALTAs reported in NPPES

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

Authorized official

Name

Mr. Peter Steven Sperico, FNP

Title

President

Phone

(516) 455-3413

Specialties & licenses 2

Addresses

Part of

Peter Sperico Nurse Practitioner in F

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

{
    "created_epoch": "1301616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302480000000",
    "number": "1861781619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1056 GARDINER DRIVE",
            "address_2": "PETER SPERICO NURSE PRACTITIONER IN FAMILY HEALTH PC",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117066314",
            "telephone_number": "516-455-3413",
            "fax_number": "631-969-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1056 GARDINER DRIVE",
            "address_2": "PETER SPERICO NURSE PRACTITIONER IN FAMILY HEALTH PC",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117066314",
            "telephone_number": "516-455-3413",
            "fax_number": "631-969-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER SPERICO NURSE PRACTITIONER IN F",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PETER SPERICO NURSE PRACTITIONER IN FAMILY HEALT",
        "enumeration_date": "2011-04-01",
        "last_updated": "2011-04-11",
        "status": "A",
        "authorized_official_last_name": "SPERICO",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-455-3413",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "409409",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "336101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald R Perrone, M.D.
• Jennifer Perrotta, LCSW
• Oumlissa Trishana Persaud, DO
• Jennifer Pescitelli, DPT
• Jordanna Lynn Pessah, DPT
• Emily Peterson, MD
• Daniella Petrini, MSW
• Amanda Marie Petrone, LPN
• Sheniel Freedom Phagoo
• Carol Ann Phelan, R.N.

• Nurse Practitioner in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2011; 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.