Organization Active NPI

SC Family Health NP PLLC

  • Family Nurse Practitioner
  • Holbrook, NY
National Provider Identifier
1992561708
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
SC FAMILY HEALTH NP PLLC
Practice address
8 Avenue a
Holbrook, NY 11741-2008
Phone
(631) 903-3567
NPI assigned
Feb 28, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Authorized official

Name
Steven ClarkeNPI 1962838383
Title
Principle
Phone
(631) 903-3567

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

8 Avenue a
Holbrook, NY 11741-2008

Mailing address

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

Other practice location 1

18 Weeks St
Blue Point, NY 11715-1513
Phone (631) 903-3567

National Provider Directory

National Provider Directory

Locations

18 Weeks St
Blue Point, NY 11715
Phone (631) 419-6300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1709078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725408000000",
    "number": "1992561708",
    "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": [
        {
            "address_1": "18 Weeks St",
            "address_purpose": "LOCATION",
            "city": "Blue Point",
            "state": "NY",
            "postal_code": "117151513",
            "country_code": "US",
            "telephone_number": "631-903-3567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SC FAMILY HEALTH NP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-28",
        "last_updated": "2024-09-04",
        "certification_date": "2024-08-12",
        "status": "A",
        "authorized_official_last_name": "CLARKE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PRINCIPLE",
        "authorized_official_telephone_number": "631-903-3567"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holbrook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.