BERNADETTE C. DECARLO AGPCNP-BC - NPI 1104750793 - Nurse Practitioner in Stony Brook, NY

Q: What is Bernadette Decarlo's NPI number?

The NPI number for Bernadette Decarlo is 1104750793. It was assigned to this individual provider in the NPPES registry on June 10, 2026.

Q: What is Bernadette Decarlo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

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About Bernadette C. Decarlo Agpcnp-bc NPPES

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

BERNADETTE C. DECARLO AGPCNP-BC (NPI 1104750793) is an individual adult health provider in Stony Brook, New York, licensed in New York (312852) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1104750793

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameBERNADETTE C. DECARLOCredential: AGPCNP-BC

Location Address101 NICOLLS RDStony Brook, NY 11794-0001

Mailing Address101 Nicolls RdStony Brook, NY 11794-0001 · (631) 444-4000

Phone(631) 444-4000

Sole ProprietorYes

Enumeration DateJune 10, 2026

Last NPPES UpdateJune 21, 2026

NPPES CertifiedJune 21, 2026

✔ NPI 1104750793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NY · 312852

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 312852 (NY)

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 312852 (NY)

101 NICOLLS RD, Stony Brook, NY 11794

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Other Providers at the Same Location NPPES 20

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

NARINDER SINGH M.D.

Internal Medicine