ISLAND NURSE PRACTITIONER IN FAMILY HEALTH, PLLC
NPI 1740593474
Nurse Practitioner - Family in Staten Island, NY

Active since July 22, 2010
3700 RICHMOND AVE, STATEN ISLAND, NY 10312(718) 980-6103 Get Directions Write a Review

NPPES record last updated: June 16, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Island Nurse Practitioner In Family Health, Pllc NPPES

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

ISLAND NURSE PRACTITIONER IN FAMILY HEALTH, PLLC (NPI 1740593474) is a healthcare organization registered as a family in Staten Island, New York and active in the NPI registry since July 2010. The organization lists Melissa Lanza, Owner, as its authorized official.

NPPES Registry Identity

NPI1740593474
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameISLAND NURSE PRACTITIONER IN FAMILY HEALTH, PLLC
Location Address3700 RICHMOND AVEStaten Island, NY 10312-3836
Mailing Address470 Mason AveStaten Island, NY 10305-2222
Organization SubpartNo
Authorized OfficialMelissa LanzaOwner · (718) 980-6103
Enumeration DateJuly 22, 2010
Last NPPES UpdateJune 16, 2011
✔ NPI 1740593474 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 · F334736
3700 RICHMOND AVE, Staten Island, NY 10312

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Island Nurse Practitioner In Family Health, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Island Nurse Practitioner In Family Health, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1386836104
3700 RICHMOND AVE
Staten Island, NY 10312
(718) 980-6103
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Island Nurse Practitioner In Family Health, PLLC's NPI number?

The NPI number for Island Nurse Practitioner In Family Health, PLLC is 1740593474. It was assigned to this organization in the NPPES registry on July 22, 2010.

Where is Island Nurse Practitioner In Family Health, PLLC located?

Island Nurse Practitioner In Family Health, PLLC is located at 3700 Richmond Ave, Staten Island, NY 10312. The listed phone number is (718) 980-6103.

What is Island Nurse Practitioner In Family Health, PLLC's specialty?

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

Is Island Nurse Practitioner In Family Health, PLLC enrolled in Medicare?

Yes. Island Nurse Practitioner In Family Health, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Island Nurse Practitioner In Family Health, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Island Nurse Practitioner In Family Health, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Island Nurse Practitioner In Family Health, PLLC was last updated on June 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.