SEDA ANGELINA PORT NP
NPI 1447745278
Nurse Practitioner - Adult Health in Long Beach, NY

Q: What is Seda Port's NPI number?

The NPI number for Seda Port is 1447745278. It was assigned to this individual provider in the NPPES registry on June 25, 2018.

Q: What is Seda Port's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Seda Port was last updated on October 31, 2022. 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.

Active since June 25, 2018PECOS EnrolledAccepts Medicare Assignment

428 E HARRISON ST, LONG BEACH, NY 11561(212) 961-6767 Get Directions Write a Review

NPPES record last updated: October 31, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 31, 2022, Oct 30, 2022, Jun 25, 2018 (3 updates tracked since 2018).

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About Seda Angelina Port Np NPPES

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

SEDA ANGELINA PORT NP (NPI 1447745278) is an individual adult health provider in Long Beach, New York, licensed in New York (308735) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Brooklyn, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1447745278

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameSEDA ANGELINA PORTCredential: NP

Location Address428 E HARRISON STLong Beach, NY 11561-2346

Mailing Address428 E Harrison StLong Beach, NY 11561-2346 · (212) 961-6767

Phone(212) 961-6767

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateJune 25, 2018

Last NPPES UpdateOctober 31, 20223 updates tracked since enumeration

NPPES CertifiedOctober 31, 2022

✔ NPI 1447745278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NY · 308735

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 404487 (NY)

428 E HARRISON ST, Long Beach, NY 11561

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Secondary Practice Location 1

Location 11200 Gravesend Neck RdBrooklyn, NY 11229-4256 · Phone (718) 332-8634 · Fax (718) 332-8637

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Seda Angelina Port Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749533628

PECOS Enrollment IDI20181023000603

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 11561 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

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

SP NURSE PRACTITIONER IN ADULT HEALTH PC

Nurse Practitioner (Psychiatric/Mental Health)

428 E HARRISON ST
LONG BEACH, NY 11561

Nassau County (212) 961-6767

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 Seda Port's NPI number?

The NPI number for Seda Port is 1447745278. It was assigned to this individual provider in the NPPES registry on June 25, 2018.

Where is Seda Port located?

Seda Port practices at 428 E Harrison St, Long Beach, NY 11561. The listed phone number is (212) 961-6767.

What is Seda Port's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Seda Port enrolled in Medicare?

Yes. Seda Port is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Seda Port was last updated on October 31, 2022. 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.