Active NPI
Melissa Margaret Feraca, FNP,BC
- Family Nurse Practitioner
- East Setauket, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 344677
- Practice address
- 181 N Belle Mead Ave Ste 2
East Setauket, NY 11733-3495 - Phone
- (631) 444-5858
- Fax
- (631) 444-1899
- NPI assigned
- Jun 12, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 507998 | NY | |
| Family Nurse Practitioner | 363LF0000X | 344677 | NY | Primary |
Addresses
Primary practice location
181 N Belle Mead Ave Ste 2
East Setauket, NY 11733-3495
Mailing address
PO Box 1559
Stony Brook, NY 11790-0989
Phone (631) 444-0650
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 507998 | NY | MD | Registered Nurse |
| 344677 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stony Brook Family and Preventive Medicine, University Faculty Practic | Current | Accepting new patients | |
| Stony Brook Surgical Associates, University Faculty Practice Corporati | Current | Accepting new patients |
Locations
181 N Belle Mead Rd
Ste 2
Setauket, NY 11733
Phone (631) 444-5858
100 Nicolls Rd
Stony Brook, NY 11794
Phone (631) 444-1560
100 Nicolls Rd
#13202
Stony Brook, NY 11794
100 Nicolls Rd
Rm 60
Stony Brook, NY 11794
Phone (631) 444-7653
3 Edmund D Pellegrino Rd
Stony Brook, NY 11794
Phone (631) 638-0800
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Stony Brook, NY
- NPI 1982659470
-
- Surgery Physician
- Stony Brook, NY
- NPI 1063468536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656979200000",
"number": "1982263091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1559",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117900989",
"telephone_number": "631-444-0650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "181 N BELLE MEAD AVE STE 2",
"city": "EAST SETAUKET",
"state": "NY",
"postal_code": "117333495",
"telephone_number": "631-444-5858",
"fax_number": "631-444-1899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERACA",
"first_name": "MELISSA",
"middle_name": "MARGARET",
"credential": "FNP,BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-12",
"last_updated": "2022-07-05",
"certification_date": "2022-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "507998",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "344677",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Setauket, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.