Individual provider Active NPI

Frances Johanna Peredo, FNP

  • Family Nurse Practitioner
  • Oceanside, NY
National Provider Identifier
1952728255
Registry record updated Mar 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
338588 Issued in NY
Practice address
187 Dot CT E
Oceanside, NY 11572-5920
Phone
(516) 764-3310
Fax
(516) 766-0918
NPI assigned
Mar 25, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 338588 NY Primary

Addresses

Primary practice location

187 Dot CT E
Oceanside, NY 11572-5920

Mailing address

187 Dot CT E
Oceanside, NY 11572-5920
Phone (516) 764-3310

Other names 1

  • Dr. Aijaz Khan Former 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
I20170118000554 NY Practitioner - Nurse Practitioner 0244512747 Reassigns benefits to 2 organizations
Practice locations: Oceanside, NY

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Sinai School of Medicine CurrentSince Oct 1, 2019 Accepting new patients
Mount Sinai School of Medicine Current Accepting new patients
North Shore Lij, Urgent Care, P.C. CurrentSince Oct 25, 2021 Accepting new patients
Mount Sinai School of Medicine CurrentSince Oct 1, 2019 Accepting new patients

Locations

2640 Merrick Rd
Bellmore, NY 11710
Phone (516) 537-9064

5828 99th St
Flushing, NY 11368
Phone (718) 502-9867

71 Forest Ave
Glen Cove, NY 11542
Phone (347) 493-2941

1 Healthy Way
Oceanside, NY 11572
Phone (516) 255-1581

377 S Oyster Bay Rd
Plainview, NY 11803
Phone (516) 537-9061

377 S Oyster Bay Rd
#13202
Plainview, NY 11803
Phone (516) 537-9061

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Organizations & group practices 4

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": "1395705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395705600000",
    "number": "1952728255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 DOT CT E",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115725920",
            "telephone_number": "516-764-3310",
            "fax_number": "516-766-0918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 DOT CT E",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115725920",
            "telephone_number": "516-764-3310",
            "fax_number": "516-766-0918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREDO",
        "first_name": "FRANCES",
        "middle_name": "JOHANNA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-25",
        "last_updated": "2014-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "338588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AIJAZ",
            "last_name": "KHAN",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oceanside, NY

Sources for this page

Verify at the official NPI Registry.