Active NPI
SC Family Health NP PLLC
- Family Nurse Practitioner
- Holbrook, NY
National Provider Identifier
1992561708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Steven Clarke
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 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 DirectoryLocations
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.
-
- Nurse Practitioner
- Holbrook, NY
- NPI 1962838383
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.