Organization Active NPI

Everest NP in Family Health PLLC

  • Family Nurse Practitioner
  • Woodside, NY
National Provider Identifier
1902670573
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
EVEREST NP IN FAMILY HEALTH PLLC
Practice address
4135 67TH St Unit MD1
Woodside, NY 11377-3718
Phone
(929) 867-2165
NPI assigned
Nov 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Authorized official

Name
Lokendra Mati Rai
Title
Ceo
Phone
(929) 867-2165

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

4135 67TH St Unit MD1
Woodside, NY 11377-3718

Mailing address

4135 67TH St Unit MD1
Woodside, NY 11377-3718
Phone (929) 867-2165

National Provider Directory

National Provider Directory

Locations

4135 67th St
Ste MD1
Woodside, NY 11377
Phone (347) 808-9400

NPI Registry JSON

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

{
    "created_epoch": "1699920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699920000000",
    "number": "1902670573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4135 67TH ST UNIT MD1",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113773718",
            "telephone_number": "929-867-2165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4135 67TH ST UNIT MD1",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113773718",
            "telephone_number": "929-867-2165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVEREST NP IN FAMILY HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-14",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A",
        "authorized_official_last_name": "RAI",
        "authorized_official_first_name": "LOKENDRA",
        "authorized_official_middle_name": "MATI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "929-867-2165"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; 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.