DANIEL GOTTFRIED APRN, FNP
NPI 1457125809
Nurse Practitioner - Family in Port Jefferson Station, NY
About Daniel Gottfried Aprn, Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DANIEL GOTTFRIED APRN, FNP (NPI 1457125809) is an individual family provider in Port Jefferson Station, New York, licensed in New York (356974) and active in the NPI registry since November 2023. He is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Daniel Gottfried Aprn, Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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 Daniel Gottfried's NPI number?
The NPI number for Daniel Gottfried is 1457125809. It was assigned to this individual provider in the NPPES registry on November 7, 2023.
Where is Daniel Gottfried located?
Daniel Gottfried practices at PO Box 17, Port Jefferson Station, NY 11776. The listed phone number is (631) 480-7788.
What is Daniel Gottfried's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Daniel Gottfried enrolled in Medicare?
Yes. Daniel Gottfried is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Daniel Gottfried was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Daniel Gottfried, APRN, FNP · NPI 1457125809
Family physician in Port Jefferson Station, New York. Individual provider, active in the CMS NPPES registry since November 7, 2023.
## Identity
- **NPI:** 1457125809 (Entity type: Individual)
- **Enumerated:** November 7, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 356974 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** PO BOX 17, Port Jefferson Station, NY 11776-0017
- **Phone:** (631) 480-7788
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** June 9, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1457125809) · Data from the CMS NPPES public registry.