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PORT JERVIS FAMILY HEALTH NP PC
NPI 1063927358
Clinic/Center - Primary Care in Port Jervis, NY

Active since December 08, 2017
1 COLE ST, PORT JERVIS, NY 12771(845) 856-6671(845) 856-6671 Get Directions Write a Review

NPPES record last updated: July 9, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 9, 2020, Dec 8, 2017 (2 updates tracked since 2017).

About Port Jervis Family Health Np Pc NPPES

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

PORT JERVIS FAMILY HEALTH NP PC (NPI 1063927358) is a healthcare organization registered as a primary care in Port Jervis, New York and active in the NPI registry since December 2017. The organization lists Michele M Doyle, Nurse Practitioner/owner, as its authorized official.

NPPES Registry Identity

NPI1063927358
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePORT JERVIS FAMILY HEALTH NP PC
Location Address1 COLE STPort Jervis, NY 12771-2217
Mailing Address7 Surrey RdChester, NY 10918-1106 · (845) 325-8378 · Fax (845) 858-9903
Phone(845) 856-6671
Fax(845) 856-6671
Organization SubpartNo
Authorized OfficialMichele M DoyleNurse Practitioner/owner · (845) 856-6671
Enumeration DateDecember 8, 2017
Last NPPES UpdateJuly 9, 20202 updates tracked since enumeration
NPPES CertifiedJuly 9, 2020
✔ NPI 1063927358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in NY · 337610
1 COLE ST, Port Jervis, NY 12771
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Other Identifiers 4

Medicaid05103104NY
Medicaid1942551890NY
Medicaid1035162650001PA
Medicaid1902344492NY

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Port Jervis Family Health Np PC's NPI number?

The NPI number for Port Jervis Family Health Np PC is 1063927358. It was assigned to this organization in the NPPES registry on December 8, 2017.

Where is Port Jervis Family Health Np PC located?

Port Jervis Family Health Np PC is located at 1 Cole St, Port Jervis, NY 12771. The listed phone number is (845) 856-6671.

What is Port Jervis Family Health Np PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Port Jervis Family Health Np PC was last updated on July 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.