FEAFEA MOORE PEAL NURSE PRACTITIONER IN FAMILY HEALTH PLLC - NPI 1063921922

Q: What is Feafea Moore Peal Nurse Practitioner In Family Health PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

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About Feafea Moore Peal Nurse Practitioner In Family Health Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FEAFEA MOORE PEAL NURSE PRACTITIONER IN FAMILY HEALTH PLLC (NPI 1063921922) is a healthcare organization registered as a family in Brooklyn, New York and active in the NPI registry since September 2017. The organization holds a CLIA Waiver certificate valid through August 24, 2027 and lists Feafea Moore Peal, Family Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1063921922

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameFEAFEA MOORE PEAL NURSE PRACTITIONER IN FAMILY HEALTH PLLC

Location Address153 4TH AVEBrooklyn, NY 11217-3108

Mailing Address14507 130th AveJamaica, NY 11436-2234 · (718) 529-1648

Phone(718) 529-1648

Organization SubpartNo

Authorized OfficialFeafea Moore PealFamily Nurse Practitioner · (347) 858-2497

Enumeration DateSeptember 22, 2017

Last NPPES UpdateOctober 14, 20252 updates tracked since enumeration

NPPES CertifiedOctober 14, 2025

✔ NPI 1063921922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · 337511

153 4TH AVE, Brooklyn, NY 11217

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2233664

Feafea Moore Peal Nurse Practioner In Family Health PLLC · Brooklyn, NY

Active · expires Aug 24, 2027

CLIA Number33D2233664

Laboratory TypePhysician Office

Certificate Effective DateAugust 25, 2025

Certificate Expiration DateAugust 24, 2027

Laboratory DirectorFeafea Moore Peal

Laboratory Phone(929) 295-8988

Laboratory LocationFeafea Moore Peal Nurse Practioner In Family Health PLLC153 4th Ave, Lower Level, Brooklyn, NY 11217

CLIA data matches this NPI record on: Address

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. FEAFEA MOORE PEAL FNP-C

Nurse Practitioner (Family)