MERCILA ROBERTY
NPI 1790301745
Licensed Practical Nurse in Brentwood, NY

Active since June 24, 2020
11 6TH AVE, BRENTWOOD, NY 11717(631) 787-4815 Get Directions Write a Review

NPPES record last updated: June 24, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mercila Roberty NPPES

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

MERCILA ROBERTY (NPI 1790301745) is an individual licensed practical nurse in Brentwood, New York, licensed in New York (334716) and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1790301745
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMERCILA ROBERTY
Location Address11 6TH AVEBrentwood, NY 11717-6122
Mailing Address265 Broadhollow RdMelville, NY 11747-4833 · (631) 289-6223
Sole ProprietorNo
Enumeration DateJune 24, 2020
NPPES CertifiedJune 24, 2020
NPI 1790301745 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 · 334716
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.

11 6TH AVE, Brentwood, NY 11717

Other Identifiers 1

Medicaid334716NY

Other Providers at the Same Location NPPES

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

Licensed Practical Nurse
11 6TH AVE
BRENTWOOD, NY 11717

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 Mercila Roberty's NPI number?

The NPI number for Mercila Roberty is 1790301745. It was assigned to this individual provider in the NPPES registry on June 24, 2020.

Where is Mercila Roberty located?

Mercila Roberty practices at 11 6th Ave, Brentwood, NY 11717. The listed phone number is (631) 787-4815.

What is Mercila Roberty'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 Mercila Roberty was last updated on June 24, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.