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PEDIATRIC NURSE PRACTITIONER, PLLC
NPI 1144993080
Nurse Practitioner - Pediatrics in Merrick, NY

Active since July 27, 2021
2944 HOLIDAY PARK DR, MERRICK, NY 11566(646) 784-6449(516) 809-9855 Get Directions Write a Review

NPPES record last updated: July 27, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pediatric Nurse Practitioner, Pllc NPPES

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

PEDIATRIC NURSE PRACTITIONER, PLLC (NPI 1144993080) is a healthcare organization registered as a pediatrics in Merrick, New York and active in the NPI registry since July 2021. The organization lists Joy Beverly Stennett, Cpnp, as its authorized official.

NPPES Registry Identity

NPI1144993080
Entity TypeOrganization
Primary Taxonomy363LP0200X
Legal Business NamePEDIATRIC NURSE PRACTITIONER, PLLC
Location Address2944 HOLIDAY PARK DRMerrick, NY 11566-4825
Mailing Address2944 Holiday Park DrMerrick, NY 11566-4825 · (646) 784-6449 · Fax (516) 809-9855
Phone(646) 784-6449
Fax(516) 809-9855
Organization SubpartNo
Authorized OfficialJoy Beverly StennettCpnp · (646) 784-6449
Enumeration DateJuly 27, 2021
NPPES CertifiedJuly 27, 2021
✔ NPI 1144993080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
2944 HOLIDAY PARK DR, Merrick, NY 11566
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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

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 Pediatric Nurse Practitioner, PLLC's NPI number?

The NPI number for Pediatric Nurse Practitioner, PLLC is 1144993080. It was assigned to this organization in the NPPES registry on July 27, 2021.

Where is Pediatric Nurse Practitioner, PLLC located?

Pediatric Nurse Practitioner, PLLC is located at 2944 Holiday Park Dr, Merrick, NY 11566. The listed phone number is (646) 784-6449.

What is Pediatric Nurse Practitioner, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Pediatric Nurse Practitioner, PLLC was last updated on July 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.