WILLIAM D NUNN II
NPI 1134860786
Pediatrics in Lake Grove, NY

Active since April 06, 2022PECOS Enrolled
4 SMITH HAVEN MALL, LAKE GROVE, NY 11755(631) 444-7337(631) 444-2894 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 26, 2025, Apr 6, 2022 (2 updates tracked since 2022).

About William D Nunn Ii NPPES

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

WILLIAM D NUNN II (NPI 1134860786) is an individual pediatrics provider in Lake Grove, New York, licensed in New York (336386) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1134860786
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameWILLIAM D NUNN II
Location Address4 SMITH HAVEN MALLLake Grove, NY 11755-1219
Mailing Address101 Nicolls Rd, Hsc Level 11 Rm 040Stony Brook, NY 11794 · (631) 444-2020 · Fax (631) 444-2894
Fax(631) 444-2894
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 6, 2022
Last NPPES UpdateJuly 30, 20252 updates tracked since enumeration
NPPES CertifiedJuly 30, 2025
NPI 1134860786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in NY · 336386
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4 SMITH HAVEN MALL, Lake Grove, NY 11755

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

William D Nunn Ii is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2567970569
PECOS Enrollment IDI20250801000760
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11755 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

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

Internal Medicine
4 SMITH HAVEN MALL
LAKE GROVE, NY 11755
Physician Assistant
4 SMITH HAVEN MALL
LAKE GROVE, NY 11755
Internal Medicine
4 SMITH HAVEN MALL
LAKE GROVE, NY 11755
Dietitian, Registered
4 SMITH HAVEN MALL
LAKE GROVE, NY 11755
Pediatrics
4 SMITH HAVEN MALL
LAKE GROVE, NY 11755
Genetic Counselor, MS
4 SMITH HAVEN MALL
LAKE GROVE, NY 11755
Clinical Neuropsychologist
4 SMITH HAVEN MALL
LAKE GROVE, NY 11755
Dietitian, Registered
4 SMITH HAVEN MALL
LAKE GROVE, NY 11755

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 William Nunn's NPI number?

The NPI number for William Nunn is 1134860786. It was assigned to this individual provider in the NPPES registry on April 6, 2022.

Where is William Nunn located?

William Nunn practices at 4 Smith Haven Mall, Lake Grove, NY 11755. The listed phone number is (631) 444-7337.

What is William Nunn's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is William Nunn enrolled in Medicare?

Yes. William Nunn is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for William Nunn was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.