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MRS. MARILOU MIRA OMOYON-PERHAM NP
NPI 1578616785
Nurse Practitioner - Neonatal in Port Jefferson, NY

Active since January 19, 2007
200 BELLE TERRE RD, INTENSIVE CARE NURSERY, PORT JEFFERSON, NY 11777(631) 474-6577(631) 474-6356 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mrs. Marilou Mira Omoyon-perham Np NPPES

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

MRS. MARILOU MIRA OMOYON-PERHAM NP (NPI 1578616785) is an individual neonatal provider in Port Jefferson, New York, licensed in New York (F350156-1) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1578616785
Entity TypeIndividualFemale
Primary Taxonomy363LN0000X
Provider Legal NameMRS. MARILOU MIRA OMOYON-PERHAMCredential: NP
Location Address200 BELLE TERRE RD, INTENSIVE CARE NURSERYPort Jefferson, NY 11777-1928
Mailing AddressPo Box 272, Island Neonatology PllcEast Islip, NY 11730-0272 · (631) 224-1878 · Fax (631) 224-7963
Phone(631) 474-6577
Fax(631) 474-6356
Sole ProprietorNo
Enumeration DateJanuary 19, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1578616785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · NeonatalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LN0000X
License✔ Licensed in NY · F350156-1
200 BELLE TERRE RD, Port Jefferson, NY 11777
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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.

ANTHONY BRIAN KWAN MD
Emergency Medicine
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 474-6791
MR. TERENCE JOSEPH SCHULZ MA CCC-A
Audiologist-Hearing Aid Fitter
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 474-6326
MS. LAURA LYNN BECK PT
Physical Therapist
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 476-5606
RONNI MARANGONI
Occupational Therapist (Pediatrics)
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 474-6267
IGOR LIZOGUBENKO P.A.
Physician Assistant
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 474-6000
SANA AMBER HAMEEDI D.O
Pediatrics
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 474-6000
MR. MATTHEW DELPH PA
Physician Assistant
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 474-6000
DR. ROBERT KENNEDY AWADALLAH PHARM.D, ANP, MBA
Pharmacist
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 474-6000

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 Marilou Omoyon-perham's NPI number?

The NPI number for Marilou Omoyon-perham is 1578616785. It was assigned to this individual provider in the NPPES registry on January 19, 2007.

Where is Marilou Omoyon-perham located?

Marilou Omoyon-perham practices at 200 Belle Terre Rd Intensive Care Nursery, Port Jefferson, NY 11777. The listed phone number is (631) 474-6577.

What is Marilou Omoyon-perham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.

When was this NPI record last updated?

The NPPES record for Marilou Omoyon-perham was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.