Individual provider Active NPI

Steven Clarke, FNP

  • Nurse Practitioner
  • Holbrook, NY
National Provider Identifier
1962838383
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
347985 Issued in NY
Practice address
8 Avenue a
Holbrook, NY 11741-2008
Phone
(631) 903-3567
NPI assigned
Sep 17, 2013
Last updated
Aug 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 347985 NY Primary
Registered Nurse 163W00000X 677790 NY
Home Health Registered Nurse 163WH0200X 677790 NY

Addresses

Primary practice location

8 Avenue a
Holbrook, NY 11741-2008

Mailing address

8 Avenue a
Holbrook, NY 11741-2008
Phone (631) 903-3567

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
I20251110001071 NY Practitioner - Nurse Practitioner 9537659396 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1 Park Ave
FL 11
New York, NY 10016-5803

700 Hicksville Rd
Bethpage, NY 11714-3471

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
677790NYMDRegistered Nurse
347985NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
S&J Family Health NPS PLLC Nurse Practitioner CurrentSince Jun 18, 2023 Accepting new patients
New York University CurrentSince Oct 1, 2025 Accepting new patients
New York University CurrentSince Oct 1, 2025 Accepting new patients
SC Family Health NP PLLC CurrentSince Mar 3, 2024 Accepting new patients

Locations

375 Main St
Islip, NY 11751
Phone (631) 277-0591

Interoperability endpoints

  • Direct secure messaging: sclarke752774@nyumc.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1379376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1962838383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 AVENUE A",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117412008",
            "telephone_number": "631-903-3567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 AVENUE A",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117412008",
            "telephone_number": "631-903-3567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "STEVEN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-17",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "347985",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "677790",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NY",
            "license": "677790",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holbrook, NY

Sources for this page

Verify at the official NPI Registry.