Individual provider Active NPI

Stephanie Nazaire, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Bay Shore, NY
National Provider Identifier
1871025882
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F406205-01 Issued in NY
Practice address
212 5TH Ave
Bay Shore, NY 11706-6408
Phone
(917) 864-0000
NPI assigned
Mar 29, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 716833-1 NY
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X F345639-01 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F406205-01 NY Primary

Addresses

Primary practice location

212 5TH Ave
Bay Shore, NY 11706-6408

Mailing address

248 Route 25a Ste 3156
East Setauket, NY 11733-2954
Phone (347) 593-9313

Other practice location 1

537 east 35th street
floor 1
brooklyn, NY 11203
Phone (347) 593-9313

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
I20210831001438 NY Practitioner - Nurse Practitioner 0042616088 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
716833-1NYMDHome Health Registered Nurse
F345639-01NYMDFamily Nurse Practitioner
F406205-01NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Startcare, Inc. CurrentSince Apr 22, 2021 Accepting new patients
Visiting Services, LLC Single Specialty CurrentSince Mar 1, 2024 Accepting new patients
Treating Addictions, LLC Family Current Accepting new patients
Startcare, Inc. CurrentSince Apr 22, 2021 Accepting new patients
Start Treatment & Recovery Centers Inc Single Specialty Current Accepting new patients
Your Health in Wellness NP in Family Health PLLC Single Specialty CurrentSince Jul 13, 2025 Accepting new patients
Orenda Psychiatry PLLC Single Specialty Past Accepting new patients

Locations

937 Fulton St
Brooklyn, NY 11238
Phone (718) 260-2900

248 Route 25A
Setauket, NY 11733
Phone (516) 661-3318

240 N Main St
Spring Valley, NY 10977
Phone (845) 374-0410

Interoperability endpoints

  • Direct secure messaging: stephanie.nazaire@cinq-nyipa.medentdirect.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1490745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1871025882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 ROUTE 25A STE 3156",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117332954",
            "telephone_number": "347-593-9313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 5TH AVE",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117066408",
            "telephone_number": "917-864-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "537 east 35th street",
            "address_2": "floor 1",
            "address_purpose": "LOCATION",
            "city": "brooklyn",
            "state": "NY",
            "postal_code": "11203",
            "country_code": "US",
            "telephone_number": "347-593-9313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAZAIRE",
        "first_name": "STEPHANIE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-29",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NY",
            "license": "716833-1",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F345639-01",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F406205-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Shore, NY

Sources for this page

Verify at the official NPI Registry.