Provider Demographics
NPI:1194558817
Name:NURSE NEIGHBOR RN NP FAMILY HEALTH PLLC
Entity type:Organization
Organization Name:NURSE NEIGHBOR RN NP FAMILY HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GRACE
Authorized Official - Middle Name:
Authorized Official - Last Name:OREKOYA
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:646-500-0101
Mailing Address - Street 1:14725 94TH AVE APT 414
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11435-4576
Mailing Address - Country:US
Mailing Address - Phone:516-847-2418
Mailing Address - Fax:970-233-4556
Practice Address - Street 1:14725 94TH AVE APT 414
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11435-4576
Practice Address - Country:US
Practice Address - Phone:516-847-2418
Practice Address - Fax:970-233-4556
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-20
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No363LX0106XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerOccupational HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY07794407Medicaid
NY1609629377OtherNPI