Individual provider Active NPI

Filipe Silva Mendes, NP

  • Adult Health Nurse Practitioner
  • Valley Stream, NY
National Provider Identifier
1992471775
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
310372 Issued in NY
Practice address
300 Franklin Ave
Valley Stream, NY 11580-2161
Phone
(516) 599-8280
Fax
(516) 706-9599
NPI assigned
Aug 20, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 310372 NY Primary

Addresses

Primary practice location

300 Franklin Ave
Valley Stream, NY 11580-2161

Mailing address

86 Rockland Dr
Jericho, NY 11753-1436
Phone (516) 351-4361

Other practice location 1

1220 Peninsula Blvd
Hewlett, NY 11557-1200
Phone (516) 858-4399

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
I20211119001367 NY Practitioner - Nurse Practitioner 4385674662 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

300 Community Dr
Manhasset, NY 11030-3816
Phone (516) 562-3590

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
310372NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Sep 4, 2023 Accepting new patients
North Shore - Lij Medical PC CurrentSince Sep 4, 2023 Accepting new patients

Locations

172 E Main St
Huntington, NY 11743
Phone (631) 278-3622

300 Community Dr
Ste 2
Manhasset, NY 11030
Phone (516) 562-3590

300 Community Dr
Plandome, NY 11030

300 Franklin Ave
Valley Stream, NY 11580
Phone (516) 599-8280

300 Franklin Ave
Ste 1
Valley Stream, NY 11580

Networks

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

Interoperability endpoints

  • Direct secure messaging: filipemendes@nslijmedgr.allscriptsdirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1629417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1992471775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 ROCKLAND DR",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117531436",
            "telephone_number": "516-351-4361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 FRANKLIN AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115802161",
            "telephone_number": "516-599-8280",
            "fax_number": "516-706-9599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1220 Peninsula Blvd",
            "address_purpose": "LOCATION",
            "city": "Hewlett",
            "state": "NY",
            "postal_code": "115571200",
            "country_code": "US",
            "telephone_number": "516-858-4399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENDES",
        "first_name": "FILIPE",
        "middle_name": "SILVA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-20",
        "last_updated": "2024-01-02",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "310372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

Verify at the official NPI Registry.