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HEALTH-BASED PRIMARY CARE
NPI 1992545214
Nurse Practitioner - Family in Port Jefferson, NY

Active since May 27, 2024
11 GLADYSZ WAY, PORT JEFFERSON, NY 11777(917) 326-1701 Get Directions Write a Review

NPPES record last updated: November 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Health-based Primary Care NPPES

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

HEALTH-BASED PRIMARY CARE (NPI 1992545214) is a healthcare organization registered as a family in Port Jefferson, New York and active in the NPI registry since May 2024. The organization lists Shereda Lawrence, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1992545214
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameHEALTH-BASED PRIMARY CARE
Location Address11 GLADYSZ WAYPort Jefferson, NY 11777-2263
Mailing Address11 Gladysz WayPort Jefferson, NY 11777-2263
Phone(917) 326-1701
Organization SubpartNo
Authorized OfficialShereda LawrenceNurse Practitioner · (917) 326-1701
Enumeration DateMay 27, 2024
Last NPPES UpdateNovember 12, 2024
NPPES CertifiedNovember 12, 2024
✔ NPI 1992545214 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
11 GLADYSZ WAY, Port Jefferson, NY 11777
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Health-Based Primary Care's NPI number?

The NPI number for Health-Based Primary Care is 1992545214. It was assigned to this organization in the NPPES registry on May 27, 2024.

Where is Health-Based Primary Care located?

Health-Based Primary Care is located at 11 Gladysz Way, Port Jefferson, NY 11777. The listed phone number is (917) 326-1701.

What is Health-Based Primary Care'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 Health-Based Primary Care was last updated on November 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.