MR. EDMUND C NEBO NP
NPI 1407352370
Nurse Practitioner - Gerontology in New Hyde Park, NY

Q: What is Edmund Nebo's NPI number?

The NPI number for Edmund Nebo is 1407352370. It was assigned to this individual provider in the NPPES registry on April 1, 2018.

Q: What is Edmund Nebo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Edmund Nebo was last updated on November 27, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 01, 2018PECOS Enrolled

1111 MARCUS AVE, NEW HYDE PARK, NY 11042(917) 940-1980 Get Directions Write a Review

NPPES record last updated: November 27, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mr. Edmund C Nebo Np NPPES

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

MR. EDMUND C NEBO NP (NPI 1407352370) is an individual gerontology provider in New Hyde Park, New York, licensed in New York (308605) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407352370

Entity TypeIndividualMale

Primary Taxonomy363LG0600X

Provider Legal NameMR. EDMUND C NEBOCredential: NP

Location Address1111 MARCUS AVENew Hyde Park, NY 11042-1221

Mailing Address170 E New York AveValley Stream, NY 11580-6015 · (917) 940-1980

Phone(917) 940-1980

Sole ProprietorNo

Enumeration DateApril 1, 2018

Last NPPES UpdateNovember 27, 2024

NPPES CertifiedNovember 27, 2024

✔ NPI 1407352370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in NY · 308605

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 308605 (NY)

1111 MARCUS AVE, New Hyde Park, NY 11042

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Edmund C Nebo Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11042 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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