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ELIZABETH CATHERINE MEDINA FNP-BC MSN RN
NPI 1386289007
Nurse Practitioner - Family in Elmont, NY

Active since November 18, 2019
1797 DUTCH BROADWAY, CLINIC #2061, ELMONT, NY 11003(516) 561-1340 Get Directions Write a Review

NPPES record last updated: December 6, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 6, 2021, Nov 5, 2020, Nov 18, 2019 (3 updates tracked since 2019).

About Elizabeth Catherine Medina Fnp-bc Msn Rn NPPES

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

ELIZABETH CATHERINE MEDINA FNP-BC MSN RN (NPI 1386289007) is an individual family provider in Elmont, New York, licensed in New York (F346807-01) and active in the NPI registry since November 2019.

NPPES Registry Identity

NPI1386289007
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameELIZABETH CATHERINE MEDINACredential: FNP-BC MSN RN
Location Address1797 DUTCH BROADWAY, CLINIC #2061Elmont, NY 11003-4243
Mailing Address1797 Dutch Broadway # 2061Elmont, NY 11003-4243 · (516) 561-1340
Phone(516) 561-1340
Sole ProprietorNo
Enumeration DateNovember 18, 2019
Last NPPES UpdateDecember 6, 20213 updates tracked since enumeration
NPPES CertifiedDecember 6, 2021
✔ NPI 1386289007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · F346807-01
Also ListedRegistered NurseTaxonomy 163W00000X · License 679425 (NY)
1797 DUTCH BROADWAY, Elmont, NY 11003
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Other Names 1

Former Name (1)Elizabeth Catherine Salandy Rn

Other Providers at the Same Location NPPES 9

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

KHOVITA JAINARINE
Social Worker (Clinical)
1797 DUTCH BROADWAY
ELMONT, NY 11003
Nassau County (516) 561-1340
CVS ALBANY LLC
Pharmacy
1797 DUTCH BROADWAY
ELMONT, NY 11003
Nassau County (516) 561-1340
RANDELL BRANDON HOLLINGSWORTH
Pharmacist
1797 DUTCH BROADWAY
ELMONT, NY 11003
Nassau County (516) 561-1340
DR. JOHN J GALLACE
Pharmacist
1797 DUTCH BROADWAY
ELMONT, NY 11003
Nassau County (516) 561-1340
MUZNA HASAN
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1797 DUTCH BROADWAY
ELMONT, NY 11003
Nassau County (516) 561-1340
KAREN MUIR RPH,PHARM.D
Pharmacist
1797 DUTCH BROADWAY
ELMONT, NY 11003
Nassau County (516) 561-1340
YING HUI TEE FNP-BC
Nurse Practitioner (Family)
1797 DUTCH BROADWAY
ELMONT, NY 11003
Nassau County (516) 561-1340
MICHELLE YOUNGER
Nurse Practitioner (Family)
1797 DUTCH BROADWAY
ELMONT, NY 11003
Nassau County (516) 561-1340

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 Elizabeth Medina's NPI number?

The NPI number for Elizabeth Medina is 1386289007. It was assigned to this individual provider in the NPPES registry on November 18, 2019. The provider is also known as Elizabeth Catherine Salandy Rn.

Where is Elizabeth Medina located?

Elizabeth Medina practices at 1797 Dutch Broadway Clinic #2061, Elmont, NY 11003. The listed phone number is (516) 561-1340.

What is Elizabeth Medina's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Elizabeth Medina was last updated on December 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.