| NPI | 1033185822 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2006-02-23 |
| Last Updated | 2015-02-04 |
| Mailing Address | 1174 Route 112 Port Jefferson Station, NY 11776-8033 United States Phone: (631) 320-7503 | Fax: (631) 880-4411 📍 View Map |
| Primary Practice Address | 1174 Route 112 Port Jefferson Station, NY 11776-8033 United States Phone: (631) 320-7503 | Fax: (631) 880-4411 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | NY | 02426382 | - |
| Other (non-Medicare) | NY | 1229G1 | BCBS |
| Other (non-Medicare) | - | P00287733 | Railroad |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 207P00000X – Emergency Medicine | NY | F33169-1 |
| Yes | 363L00000X – Nurse Practitioner | NY | F33169-1 |
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About NPI 1033185822
Vincent Sperandeo DNP is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1033185822. The primary specialty listed is Nurse Practitioner. The provider is located in Port Jefferson Station, NY. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-02-23. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1033185822?
NPI 1033185822 belongs to Vincent Sperandeo DNP, a Nurse Practitioner in Port Jefferson Station, NY. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1033185822 active?
The current status of NPI 1033185822 in the NPPES registry is Active. The record was last updated on 2015-02-04.
What specialty is NPI 1033185822?
NPI 1033185822 is classified under the taxonomy Nurse Practitioner. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1033185822?
You can verify NPI 1033185822 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1033185822?
The primary practice address on file for NPI 1033185822 is 1174 Route 112, Port Jefferson Station, NY 11776-8033. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1033185822 issued?
NPI 1033185822 was first issued (enumerated) on 2006-02-23. The NPPES record was last updated on 2015-02-04.
Practice Location Map
Vincent Sperandeo is located at 1174 Route 112, Port Jefferson Station, NY. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Vincent Sperandeo. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1033185822. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Emergency Medicine | F33169-1 | NY |
| Nurse Practitioner | F33169-1 | NY |