AGING WELL RN NP FAMILY HEALTH PLLC
NPI 1629202478
Nurse Practitioner - Primary Care in Staten Island, NY
About Aging Well Rn Np Family Health Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AGING WELL RN NP FAMILY HEALTH PLLC (NPI 1629202478) is a healthcare organization registered as a primary care in Staten Island, New York and active in the NPI registry since May 2009. The organization maintains a secondary practice location in Staten Island and lists Azza A Ezzat, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
Other Providers at the Same Location NPPES 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
STATEN ISLAND, NY 10314
STATEN ISLAND, NY 10314
STATEN ISLAND, NY 10314
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 Aging Well Rn Np Family Health PLLC's NPI number?
The NPI number for Aging Well Rn Np Family Health PLLC is 1629202478. It was assigned to this organization in the NPPES registry on May 7, 2009.
Where is Aging Well Rn Np Family Health PLLC located?
Aging Well Rn Np Family Health PLLC is located at 774 Manor Rd, Staten Island, NY 10314. The listed phone number is (718) 496-2542.
What is Aging Well Rn Np Family Health PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
When was this NPI record last updated?
The NPPES record for Aging Well Rn Np Family Health PLLC was last updated on April 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Aging Well Rn Np Family Health Pllc · NPI 1629202478
Primary Care organization in Staten Island, New York. Organization record, active in the CMS NPPES registry since May 7, 2009.
## Identity
- **NPI:** 1629202478 (Entity type: Organization)
- **Enumerated:** May 7, 2009
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **Organization subpart:** No
- **Authorized official:** Azza Ezzat, PRESIDENT
## Practice location
- **Address:** 774 MANOR RD, Staten Island, NY 10314-7038
- **Phone:** (718) 496-2542
## Record status
- **NPPES last updated:** April 24, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1629202478) · Data from the CMS NPPES public registry.