DYNAMIC FAMILY HEALTH NP PLLC
NPI 1487470423
Nurse Practitioner - Family in East Patchogue, NY

Q: What is Dynamic Family Health Np PLLC's NPI number?

The NPI number for Dynamic Family Health Np PLLC is 1487470423. It was assigned to this organization in the NPPES registry on November 25, 2024.

Q: What is Dynamic Family Health Np PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since November 25, 2024

611 MEDFORD AVE, EAST PATCHOGUE, NY 11772(929) 519-4039 Get Directions Write a Review

NPPES record last updated: November 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dynamic Family Health Np Pllc NPPES

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

DYNAMIC FAMILY HEALTH NP PLLC (NPI 1487470423) is a healthcare organization registered as a family in East Patchogue, New York and active in the NPI registry since November 2024. The organization lists Nickolas Nathaniel Jackson, Owner, as its authorized official.

NPPES Registry Identity

NPI1487470423

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameDYNAMIC FAMILY HEALTH NP PLLC

Location Address611 MEDFORD AVEEast Patchogue, NY 11772-1307

Mailing Address13471 Bedell StJamaica, NY 11434-4551 · (347) 759-9040

Phone(929) 519-4039

Organization SubpartNo

Authorized OfficialNickolas Nathaniel JacksonOwner · (347) 759-9040

Enumeration DateNovember 25, 2024

NPPES CertifiedNovember 24, 2024

✔ NPI 1487470423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LF0000X

611 MEDFORD AVE, East Patchogue, NY 11772

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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 Dynamic Family Health Np PLLC's NPI number?

The NPI number for Dynamic Family Health Np PLLC is 1487470423. It was assigned to this organization in the NPPES registry on November 25, 2024.

Where is Dynamic Family Health Np PLLC located?

Dynamic Family Health Np PLLC is located at 611 Medford Ave, East Patchogue, NY 11772. The listed phone number is (929) 519-4039.

What is Dynamic Family Health Np PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Dynamic Family Health Np PLLC was last updated on November 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.