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

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: October 18, 2026.

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

4

Medicare enrollment records show Edmund Nebo reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

North Shore - Lij Medical PC
0.6 mi
Internal Medicine
270-05 76TH AVE
New Hyde Park, NY 11040
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
NPI 1790043479 (516) 465-8089
Essen Medical Associates,pc
4.4 mi
Legal Medicine
19544 WOODHULL AVE
Jamaica, NY 11423
  • Reassigned Medicare billing, New York enrollment
  • 1,393 clinicians in this Medicare group
NPI 1700023926 (718) 740-3500
House Call Medical Services Of New York, PLLC
9.4 mi
Internal Medicine
1371 SEABURY AVE
Bronx, NY 10461
  • Reassigned Medicare billing, New York enrollment
  • 1,054 clinicians in this Medicare group
NPI 1851345946 (718) 294-6200
Essen Medical Urgicare, PLLC
13 mi
Urgent Care
1550 UNIVERSITY AVE
Bronx, NY 10452
  • Reassigned Medicare billing, New York enrollment
  • 683 clinicians in this Medicare group
NPI 1841607298 (718) 583-7736

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Other Providers at the Same Location NPPES 19

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

MRS. CHANDRA LAIKHA DOOKRAN FNP
Nurse Practitioner (Family)
1111 MARCUS AVE, SUITE LL20
NEW HYDE PARK, NY 11042
Nassau County (516) 734-7000
NOAH D KAUFF MD
Obstetrics & Gynecology (Gynecologic Oncology)
1111 MARCUS AVE
NEW HYDE PARK, NY 11042
Nassau County (516) 321-2241
NICOLE PUIDOKAS NP
Nurse Practitioner (Family)
1111 MARCUS AVE
NEW HYDE PARK, NY 11042
Nassau County (516) 224-2800
LYNDSEY RAE PLISKIN MD
Student in an Organized Health Care Education/Training Program
1111 MARCUS AVE
NEW HYDE PARK, NY 11042
Nassau County (718) 470-3206
DAVID KATZ M.D.
Pediatrics (Pediatric Cardiology)
1111 MARCUS AVE
NEW HYDE PARK, NY 11042
Nassau County (516) 691-7276
DR. ABDULRAOUF YOUSEF LAMOSHI MD
Surgery (Pediatric Surgery)
1111 MARCUS AVE
NEW HYDE PARK, NY 11042
Nassau County (513) 491-6382
ALYSSA ANN ROME NP
Nurse Practitioner (Family)
1111 MARCUS AVE
NEW HYDE PARK, NY 11042
Nassau County (718) 470-3000
MRS. MARTINE BLANCHARD DOBRESCU N.P.
Nurse Practitioner (Psychiatric/Mental Health)
1111 MARCUS AVE, SUITE LL20
NEW HYDE PARK, NY 11042
Nassau County (516) 734-7000

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 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.

Where is Edmund Nebo located?

Edmund Nebo practices at 1111 Marcus Ave, New Hyde Park, NY 11042. The listed phone number is (917) 940-1980.

What is Edmund Nebo's specialty?

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

Is Edmund Nebo enrolled in Medicare?

Yes. Edmund Nebo is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Edmund Nebo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edmund Nebo reassigns Medicare benefits to 4 organizations: North Shore - Lij Medical PC (New Hyde Park, NY), Essen Medical Associates,pc (Jamaica, NY), House Call Medical Services Of New York, PLLC (Bronx, NY) and Essen Medical Urgicare, PLLC (Bronx, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Edmund Nebo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Edmund Nebo was last updated on November 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.