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ILAISIAH BROOKS LPN
NPI 1417804667
Licensed Practical Nurse in Mastic Beach, NY

Active since March 16, 2026
111 CHURCH DR, MASTIC BEACH, NY 11951(631) 504-2618(631) 504-2618 Get Directions Write a Review

NPPES record last updated: March 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ilaisiah Brooks Lpn NPPES

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

ILAISIAH BROOKS LPN (NPI 1417804667) is an individual licensed practical nurse in Mastic Beach, New York, licensed in New York (355878) and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1417804667
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameILAISIAH BROOKSCredential: LPN
Location Address111 CHURCH DRMastic Beach, NY 11951-1801
Mailing Address111 Church DrMastic Beach, NY 11951-1801 · (631) 504-2618 · Fax (631) 504-2618
Phone(631) 504-2618
Fax(631) 504-2618
Sole ProprietorYes
Enumeration DateMarch 16, 2026
NPPES CertifiedMarch 16, 2026
✔ NPI 1417804667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 355878
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
111 CHURCH DR, Mastic Beach, NY 11951
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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 Ilaisiah Brooks's NPI number?

The NPI number for Ilaisiah Brooks is 1417804667. It was assigned to this individual provider in the NPPES registry on March 16, 2026.

Where is Ilaisiah Brooks located?

Ilaisiah Brooks practices at 111 Church Dr, Mastic Beach, NY 11951. The listed phone number is (631) 504-2618.

What is Ilaisiah Brooks's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Ilaisiah Brooks was last updated on March 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.