MICHAEL KENNETH TAX LPN
NPI 1790244317
Licensed Practical Nurse in Port Jefferson, NY

Active since March 13, 2019
125 OAKLAND AVE STE 204, PORT JEFFERSON, NY 11777(631) 686-1414(631) 686-1462 Get Directions Write a Review

NPPES record last updated: March 13, 2019. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Michael Kenneth Tax Lpn NPPES

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

MICHAEL KENNETH TAX LPN (NPI 1790244317) is an individual licensed practical nurse in Port Jefferson, New York, licensed in New York (262016-1) and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1790244317
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameMICHAEL KENNETH TAXCredential: LPN
Location Address125 OAKLAND AVE STE 204Port Jefferson, NY 11777-2130
Mailing Address1206 Broadway AveHolbrook, NY 11741-5413 · (631) 295-7701
Fax(631) 686-1462
Sole ProprietorYes
Enumeration DateMarch 13, 2019
✔ NPI 1790244317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 262016-1
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
125 OAKLAND AVE STE 204, Port Jefferson, NY 11777

Other Providers at the Same Location NPPES 2

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

Internal Medicine
125 OAKLAND AVE STE 204
PORT JEFFERSON, NY 11777
Internal Medicine
125 OAKLAND AVE STE 204
PORT JEFFERSON, NY 11777

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 Michael Tax's NPI number?

The NPI number for Michael Tax is 1790244317. It was assigned to this individual provider in the NPPES registry on March 13, 2019.

Where is Michael Tax located?

Michael Tax practices at 125 Oakland Ave Ste 204, Port Jefferson, NY 11777. The listed phone number is (631) 686-1414.

What is Michael Tax's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Michael Tax was last updated on March 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.