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PECONIC BAY FACULTY MEDICAL AFFILIATES, UNIVERSITY FACULTY PRACTICE CO
NPI 1497591507
Nurse Practitioner - Acute Care in Riverhead, NY

Active since July 08, 2024
1 HEROES WAY, RIVERHEAD, NY 11901(631) 548-6063(631) 548-6007 Get Directions Write a Review

NPPES record last updated: July 8, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Peconic Bay Faculty Medical Affiliates, University Faculty Practice Co NPPES

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

PECONIC BAY FACULTY MEDICAL AFFILIATES, UNIVERSITY FACULTY PRACTICE CO (NPI 1497591507) is a healthcare organization registered as an acute care in Riverhead, New York and active in the NPI registry since July 2024. The organization lists Jennifer A Meyer, Nurse Practicioner, as its authorized official.

NPPES Registry Identity

NPI1497591507
Entity TypeOrganization
Primary Taxonomy363LA2100X
Legal Business NamePECONIC BAY FACULTY MEDICAL AFFILIATES, UNIVERSITY FACULTY PRACTICE CO
Location Address1 HEROES WAYRiverhead, NY 11901-2054
Mailing Address1 Heroes WayRiverhead, NY 11901-2054 · (631) 548-6063 · Fax (631) 548-6007
Phone(631) 548-6063
Fax(631) 548-6007
Organization SubpartNo
Authorized OfficialJennifer A MeyerNurse Practicioner · (631) 548-6063
Enumeration DateJuly 8, 2024
NPPES CertifiedJuly 8, 2024
✔ NPI 1497591507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
1 HEROES WAY, Riverhead, NY 11901
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Group Practice 1

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

Other Providers at the Same Location NPPES 20

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

DR. ORSEOLA ARAPI MD
Student in an Organized Health Care Education/Training Program
1 HEROES WAY
RIVERHEAD, NY 11901
Suffolk County (631) 546-6446
DR. NICOLE MELISSA CASTRO DO
Student in an Organized Health Care Education/Training Program
1 HEROES WAY
RIVERHEAD, NY 11901
Suffolk County (631) 548-6446
JOANNE ELIZABETH COTRONE RPA-C
Physician Assistant
1 HEROES WAY
RIVERHEAD, NY 11901
Suffolk County (631) 548-6200
JARED VINCENT NASSO DO
Student in an Organized Health Care Education/Training Program
1 HEROES WAY
RIVERHEAD, NY 11901
Suffolk County (631) 548-6446
MARCELA TROCHA MD, MSC
Student in an Organized Health Care Education/Training Program
1 HEROES WAY
RIVERHEAD, NY 11901
Suffolk County (631) 548-6446
SANOORI WELMILLAGE DO
Student in an Organized Health Care Education/Training Program
1 HEROES WAY
RIVERHEAD, NY 11901
Suffolk County (631) 548-6446
COURTNEY MALIA CLEMONS
Physician Assistant
1 HEROES WAY
RIVERHEAD, NY 11901
Suffolk County (631) 548-6000
KASIDY SMITH PA-C
Physician Assistant
1 HEROES WAY
RIVERHEAD, NY 11901
Suffolk County (631) 538-8860

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 Peconic Bay Faculty Medical Affiliates, University Faculty Practice Co's NPI number?

The NPI number for Peconic Bay Faculty Medical Affiliates, University Faculty Practice Co is 1497591507. It was assigned to this organization in the NPPES registry on July 8, 2024.

Where is Peconic Bay Faculty Medical Affiliates, University Faculty Practice Co located?

Peconic Bay Faculty Medical Affiliates, University Faculty Practice Co is located at 1 Heroes Way, Riverhead, NY 11901. The listed phone number is (631) 548-6063.

What is Peconic Bay Faculty Medical Affiliates, University Faculty Practice Co's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

When was this NPI record last updated?

The NPPES record for Peconic Bay Faculty Medical Affiliates, University Faculty Practice Co was last updated on July 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.