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EBC HEALTH
NPI 1639336589
Nurse Practitioner - Family in Massapequa Park, NY

Active since May 19, 2008
135 PARK BLVD, MASSAPEQUA PARK, NY 11762(516) 524-0665 Get Directions Write a Review

NPPES record last updated: June 13, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ebc Health NPPES

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

EBC HEALTH (NPI 1639336589) is a healthcare organization registered as a family in Massapequa Park, New York and active in the NPI registry since May 2008. The organization lists Brendan J Keys, Owner, as its authorized official.

NPPES Registry Identity

NPI1639336589
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameEBC HEALTH
Location Address135 PARK BLVDMassapequa Park, NY 11762-3643
Mailing Address209 Fillmore StMassapequa Park, NY 11762-1513
Phone(516) 524-0665
Organization SubpartNo
Authorized OfficialBrendan J KeysOwner · (516) 524-0665
Enumeration DateMay 19, 2008
Last NPPES UpdateJune 13, 2008
✔ NPI 1639336589 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
License✔ Licensed in NY · F334247
135 PARK BLVD, Massapequa Park, NY 11762
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Other Identifiers 4

Medicare UPINQ12412NY
Medicare PIN0508G1NY
Other0472G1Blue Cross Blue Shield
Medicaid02523857NY

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

Other Providers at the Same Location NPPES 3

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

DR. HEATHER SHANNON OGANDO D.O.
Family Medicine
135 PARK BLVD, BOX 308
MASSAPEQUA PARK, NY 11762
Nassau County (516) 795-9090
DR. MARC STEVEN LEVITT M.D.
Internal Medicine
135 PARK BLVD
MASSAPEQUA PARK, NY 11762
Nassau County (516) 795-9090
WINTHROP FACULTY MEDICAL AFFILIATES UNIVERSITY FACULTY PRACTICE CORPOR
Internal Medicine
135 PARK BLVD
MASSAPEQUA PARK, NY 11762
Nassau County (516) 795-9090

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 Ebc Health's NPI number?

The NPI number for Ebc Health is 1639336589. It was assigned to this organization in the NPPES registry on May 19, 2008.

Where is Ebc Health located?

Ebc Health is located at 135 Park Blvd, Massapequa Park, NY 11762. The listed phone number is (516) 524-0665.

What is Ebc Health's specialty?

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

When was this NPI record last updated?

The NPPES record for Ebc Health was last updated on June 13, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.