Preventive Family Healthcare FNPC, PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

339935 Issued in NY

Legal business name

PREVENTIVE FAMILY HEALTHCARE FNPC, PLLC

Practice address

247 E Main St
Elbridge, NY 13060-8706

Phone

(315) 689-0001

Fax

(315) 277-5311

NPI assigned

Jan 19, 2017

Last updated

Jan 19, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nicholas Scot Gilfus, FNP-CNPI 1417311523

Title

Family Nurse Practioner

Phone

(315) 689-0001

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nicholas Scot Gilfus, FNP

  • Family Nurse Practitioner
  • Elbridge, NY
  • NPI 1417311523
  Authorized official Same address or phone

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

{
    "created_epoch": "1484784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484784000000",
    "number": "1992242663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 E MAIN ST",
            "city": "ELBRIDGE",
            "state": "NY",
            "postal_code": "130608706",
            "telephone_number": "315-689-0001",
            "fax_number": "315-277-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 E MAIN ST",
            "city": "ELBRIDGE",
            "state": "NY",
            "postal_code": "130608706",
            "telephone_number": "315-689-0001",
            "fax_number": "315-277-5311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVENTIVE FAMILY HEALTHCARE FNPC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-19",
        "last_updated": "2017-01-19",
        "status": "A",
        "authorized_official_last_name": "GILFUS",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "SCOT",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTIONER",
        "authorized_official_telephone_number": "315-689-0001",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "339935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04458706",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Todd H Marshall, PH.D.
• Maggi Mead, LPN
• Thomas William Murphy II, PHYSICIAN ASSISTANT
• David Murray, R.PH.
• Amie Platt
• Alyssa Reschke, LCSW
• Kiersten Hali Salemi, LPN
• Stephen Elliot Schwartz, DDS
• Adele Simons, PA-C
• Evelyn Simpson

• Family Nurse Practitioner in Elbridge, NY
• Providers in Elbridge, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2017; 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.