MELISSA DALE LIZ NP
NPI 1689323164
Nurse Practitioner - Family in West Islip, NY

Active since March 22, 2022
540 UNION BLVD, WEST ISLIP, NY 11795(631) 669-2555 Get Directions Write a Review

NPPES record last updated: March 22, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Melissa Dale Liz Np NPPES

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

MELISSA DALE LIZ NP (NPI 1689323164) is an individual family provider in West Islip, New York, licensed in New York (F348276-01) and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1689323164
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMELISSA DALE LIZCredential: NP
Location Address540 UNION BLVDWest Islip, NY 11795-3105
Mailing Address38 Muncey RdBay Shore, NY 11706-5335 · (631) 691-9129
Sole ProprietorYes
Enumeration DateMarch 22, 2022
NPPES CertifiedMarch 21, 2022
NPI 1689323164 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 · F348276-01
540 UNION BLVD, West Islip, NY 11795

Other Names 1

Former Name (1)Melissa Dale Mckenna

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.

Nurse Practitioner (Adult Health)
540 UNION BLVD
WEST ISLIP, NY 11795
Internal Medicine (Clinical Cardiac Electrophysiology)
540 UNION BLVD
WEST ISLIP, NY 11795
Internal Medicine (Cardiovascular Disease)
540 UNION BLVD
WEST ISLIP, NY 11795
Internal Medicine (Cardiovascular Disease)
540 UNION BLVD
WEST ISLIP, NY 11795
Nurse Practitioner (Family)
540 UNION BLVD
WEST ISLIP, NY 11795
Internal Medicine (Cardiovascular Disease)
540 UNION BLVD
WEST ISLIP, NY 11795
Internal Medicine (Cardiovascular Disease)
540 UNION BLVD
WEST ISLIP, NY 11795
Internal Medicine (Cardiovascular Disease)
540 UNION BLVD
WEST ISLIP, NY 11795

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 Melissa Liz's NPI number?

The NPI number for Melissa Liz is 1689323164. It was assigned to this individual provider in the NPPES registry on March 22, 2022. The provider is also known as Melissa Dale Mckenna.

Where is Melissa Liz located?

Melissa Liz practices at 540 Union Blvd, West Islip, NY 11795. The listed phone number is (631) 669-2555.

What is Melissa Liz'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 Melissa Liz was last updated on March 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.