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LONG ISLAND FAMILY NP, P.C.
NPI 1518442805
Nurse Practitioner - Family in Brentwood, NY

Active since October 02, 2018CLIA 33D2183628 · Waiver
2025 BRENTWOOD RD, BRENTWOOD, NY 11717(631) 234-4949(631) 234-3307 Get Directions Write a Review

NPPES record last updated: August 20, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 20, 2021, Oct 2, 2018 (2 updates tracked since 2018).

About Long Island Family Np, P.c. NPPES

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

LONG ISLAND FAMILY NP, P.C. (NPI 1518442805) is a healthcare organization registered as a family in Brentwood, New York and active in the NPI registry since October 2018. The organization holds a CLIA Waiver certificate valid through May 6, 2028 and lists Giovanni Lopez, President, as its authorized official.

NPPES Registry Identity

NPI1518442805
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameLONG ISLAND FAMILY NP, P.C.
Location Address2025 BRENTWOOD RDBrentwood, NY 11717-4656
Mailing Address2025 Brentwood RdBrentwood, NY 11717-4656 · (631) 234-4949 · Fax (631) 234-3307
Phone(631) 234-4949
Fax(631) 234-3307
Organization SubpartNo
Authorized OfficialGiovanni LopezPresident · (631) 234-4949
Enumeration DateOctober 2, 2018
Last NPPES UpdateAugust 20, 20212 updates tracked since enumeration
NPPES CertifiedAugust 20, 2021
✔ NPI 1518442805 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
2025 BRENTWOOD RD, Brentwood, NY 11717
Open in Google Maps ↗

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Long Island Family Np, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Long Island Family Np, P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Giovanni Lopez, FNP, BC, LAC.
Nurse Practitioner
NPI 1649498775
2025 BRENTWOOD RD
Brentwood, NY 11717
(631) 234-4949
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2183628

Long Island Family Np PC · Brentwood, NY
Active · expires May 6, 2028
CLIA Number33D2183628
Laboratory TypePhysician Office
Certificate Effective DateMay 7, 2026
Certificate Expiration DateMay 6, 2028
Laboratory DirectorMr. Giovanni Lopez
Laboratory Phone(631) 234-4949
Laboratory LocationLong Island Family Np PC2025 Brentwood Road, Brentwood, NY 11717
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Long Island Family Np, P.C.'s NPI number?

The NPI number for Long Island Family Np, P.C. is 1518442805. It was assigned to this organization in the NPPES registry on October 2, 2018.

Where is Long Island Family Np, P.C. located?

Long Island Family Np, P.C. is located at 2025 Brentwood Rd, Brentwood, NY 11717. The listed phone number is (631) 234-4949.

What is Long Island Family Np, P.C.'s specialty?

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

Is Long Island Family Np, P.C. enrolled in Medicare?

Yes. Long Island Family Np, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Long Island Family Np, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Long Island Family Np, P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Long Island Family Np, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2183628) is associated with this NPI, valid through May 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Long Island Family Np, P.C. was last updated on August 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.