DEBRA CIVITANO FNP
NPI 1295419240
Nurse Practitioner - Family in West Islip, NY
About Debra Civitano Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEBRA CIVITANO FNP (NPI 1295419240) is an individual family provider in West Islip, New York, licensed in New York (F351904-01) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Debra Civitano Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11795 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
WEST ISLIP, NY 11795
WEST ISLIP, NY 11795
WEST ISLIP, NY 11795
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 Debra Civitano's NPI number?
The NPI number for Debra Civitano is 1295419240. It was assigned to this individual provider in the NPPES registry on June 12, 2023.
Where is Debra Civitano located?
Debra Civitano practices at 500 Montauk Hwy, West Islip, NY 11795. The listed phone number is (631) 314-4456.
What is Debra Civitano's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Debra Civitano enrolled in Medicare?
Yes. Debra Civitano is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Debra Civitano was last updated on June 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Debra Civitano, FNP · NPI 1295419240
Family physician in West Islip, New York. Individual provider, active in the CMS NPPES registry since June 12, 2023.
## Identity
- **NPI:** 1295419240 (Entity type: Individual)
- **Enumerated:** June 12, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F351904-01 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 500 MONTAUK HWY, West Islip, NY 11795-4418
- **Phone:** (631) 314-4456
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** June 12, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1295419240) · Data from the CMS NPPES public registry.