CCS MEDICAL PRACTICE, PLLC
NPI 1265857643
Nurse Practitioner in Huntington, NY

Active since February 21, 2014
17 SOUTHDOWN ROAD, HUNTINGTON, NY 11743(631) 923-2139 Get Directions Write a Review

NPPES record last updated: December 16, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 16, 2019, Feb 27, 2019, Jan 4, 2019 (3 updates tracked since 2019).

About Ccs Medical Practice, Pllc NPPES

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

CCS MEDICAL PRACTICE, PLLC (NPI 1265857643) is a healthcare organization registered as a nurse practitioner in Huntington, New York and active in the NPI registry since February 2014. The organization lists Michael Kennedy, Owner, as its authorized official.Information from the official NPPES registry record, last updated December 16, 2019.

NPPES Registry Identity

NPI1265857643
Entity TypeOrganization
Legal Business NameCCS MEDICAL PRACTICE, PLLC
Location Address17 SOUTHDOWN ROADHuntington, NY 11743
Mailing Address17 Southdown RoadHuntington, NY 11743 · (301) 809-4000
Organization SubpartNo
Authorized OfficialMichael KennedyOwner · (631) 923-2139
Enumeration DateFebruary 21, 2014
Last NPPES UpdateDecember 16, 20193 updates tracked since enumeration
NPI 1265857643 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Nurse Practitioner

Taxonomy 363L00000X · Physician Assistants & Advanced Practice Nursing Providers

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct… Show more

Also Listed

Public Health or Welfare

Taxonomy 251K00000X · Agencies

Licensed in NY · 7175553
17 SOUTHDOWN ROAD, Huntington, NY 11743

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265857643, enumerated as an "organization" on February 21, 2014.

The provider is located at 17 SOUTHDOWN ROAD HUNTINGTON, NY 11743 and the phone number is (631) 923-2139.

Nurse Practitioner with taxonomy code 363L00000X.

The provider might be accepting Accepts: AmeriHealth Caritas Next. Please consult your insurance carrier or call the provider to verify.