AGING WELL RN NP FAMILY HEALTH PLLC
NPI 1629202478
Nurse Practitioner - Primary Care in Staten Island, NY

NPI Status: Active since May 07, 2009

Contact Information

774 MANOR RD
STATEN ISLAND, NY
ZIP 10314
Phone: (718) 496-2542

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  • Organization
  • Nurse Practitioner
  • Primary Care

About AGING WELL RN NP FAMILY HEALTH PLLC

This page provides the complete NPI Profile along with additional information for Aging Well Rn Np Family Health Pllc, a provider established in Staten Island, New York operating as a Nurse Practitioner, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1629202478 assigned on May 2009. The practitioner's primary taxonomy code is 363LP2300X. The provider is registered as an organization and their NPI record was last updated April 2026. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Ms. Azza A Ezzat Np (President)

NPI
1629202478
Provider Name
AGING WELL RN NP FAMILY HEALTH PLLC
Entity Type
Organization
Location Address
774 MANOR RD STATEN ISLAND, NY 10314
Location Phone
(718) 496-2542
Mailing Address
796 RATHBUN AVE STATEN ISLAND, NY 10309
Mailing Phone
(717) 716-7107
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-07-2009
Last Update Date
04-24-2026
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A nurse practitioner (NP) like Aging Well Rn Np Family Health Pllc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Secondary Locations

  • 1110 South Ave Ste 404
    Staten Island, NY 10314
    (800) 277-4680

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Primary Care

Taxonomy Code
363LP2300X
Type
Physician Assistants & Advanced Practice Nursing Providers
License State
NY

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. AZZA A EZZAT NP

Authorized Official Title
PRESIDENT
Authorized Official Phone
(717) 716-7107

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1629202478, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
2
Doubled → 4
Pos 4
9
Unchanged
Pos 5
2
Doubled → 4
Pos 6
0
Unchanged
Pos 7
2
Doubled → 4
Pos 8
4
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 2 → 4 2 → 4 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 4 + 9 + 4 + 0 + 4 + 4 + 1 + 4 + 24 = 62

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1629202478.

Other Providers at the Same Location


The following 18 providers are registered at the same or a nearby location.

Durable Medical Equipment & Medical Supplies (Customized Equipment)
774 MANOR RD, SUITE 202
STATEN ISLAND, NY 10314
Nurse Practitioner (Adult Health)
774 MANOR RD
STATEN ISLAND, NY 10314
Nurse Practitioner (Family)
774 MANOR RD
STATEN ISLAND, NY 10314
Durable Medical Equipment & Medical Supplies
774 MANOR RD, SUITE 211A
STATEN ISLAND, NY 10314
Nurse Practitioner (Family)
774 MANOR RD, SUITE 204
STATEN ISLAND, NY 10314
Occupational Therapist
774 MANOR RD, SUITE 210
STATEN ISLAND, NY 10314
Occupational Therapist
774 MANOR RD, SUITE 210
STATEN ISLAND, NY 10314
Nurse Practitioner (Family)
774 MANOR RD, SUITE 204
STATEN ISLAND, NY 10314
Nurse Practitioner (Adult Health)
774 MANOR RD, SUITE 204
STATEN ISLAND, NY 10314
Occupational Therapist
774 MANOR RD
STATEN ISLAND, NY 10314
Nurse Practitioner (Adult Health)
774 MANOR RD
STATEN ISLAND, NY 10314
Occupational Therapist
774 MANOR RD
STATEN ISLAND, NY 10314
Occupational Therapist
774 MANOR RD
STATEN ISLAND, NY 10314
Internal Medicine (Endocrinology, Diabetes & Metabolism)
774 MANOR RD, SUITE 208
STATEN ISLAND, NY 10314
Occupational Therapy Assistant
774 MANOR RD
STATEN ISLAND, NY 10314
Speech-Language Pathologist
774 MANOR RD
STATEN ISLAND, NY 10314
Physical Therapist
774 MANOR RD, SUITE 209
STATEN ISLAND, NY 10314
Community Health Worker
774 MANOR RD, SUITE 204
STATEN ISLAND, NY 10314

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629202478, enumerated as an "organization" on May 07, 2009.

The provider is located at 774 MANOR RD STATEN ISLAND, NY 10314 and the phone number is (718) 496-2542.

Nurse Practitioner with taxonomy code 363LP2300X and a focus in Primary Care.