SEA WAVE NP ADULT HEALTH PC
NPI 1295360725
Nurse Practitioner - Adult Health in New York, NY

Q: What is Sea Wave Np Adult Health PC's NPI number?

The NPI number for Sea Wave Np Adult Health PC is 1295360725. It was assigned to this organization in the NPPES registry on March 4, 2020.

Q: What is Sea Wave Np Adult Health PC's specialty?

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

Active since March 04, 2020

10 E 39TH ST RM 914, NEW YORK, NY 10016(347) 389-2008(877) 632-5925 Get Directions Write a Review

NPPES record last updated: March 4, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Sea Wave Np Adult Health Pc NPPES

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

SEA WAVE NP ADULT HEALTH PC (NPI 1295360725) is a healthcare organization registered as an adult health in New York, New York and active in the NPI registry since March 2020. The organization maintains a secondary practice location in Ozone Park and lists Debra Blair, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1295360725

Entity TypeOrganization

Primary Taxonomy363LA2200X

Legal Business NameSEA WAVE NP ADULT HEALTH PC

Location Address10 E 39TH ST RM 914New York, NY 10016-0111

Mailing Address1164 E 45th StBrooklyn, NY 11234-1430 · (347) 693-5790

Phone(347) 389-2008

Fax(877) 632-5925

Organization SubpartNo

Authorized OfficialDebra BlairBusiness Manager · (347) 693-5790

Enumeration DateMarch 4, 2020

NPPES CertifiedMarch 4, 2020

✔ NPI 1295360725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LA2200X

10 E 39TH ST RM 914, New York, NY 10016

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Secondary Practice Location 1

Location 19512 150th RdOzone Park, NY 11417-2919 · Phone (347) 389-2008 · Fax (877) 632-5925

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 Sea Wave Np Adult Health PC's NPI number?

The NPI number for Sea Wave Np Adult Health PC is 1295360725. It was assigned to this organization in the NPPES registry on March 4, 2020.

Where is Sea Wave Np Adult Health PC located?

Sea Wave Np Adult Health PC is located at 10 E 39th St Rm 914, New York, NY 10016. The listed phone number is (347) 389-2008.

What is Sea Wave Np Adult Health PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Sea Wave Np Adult Health PC was last updated on March 4, 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.