Village Health Family NP PLLC
Clinic/Center, Health Services in Blauvelt, NY. Organization (NPI-2).
NPI number1043885643
StatusActive
Last updated in NPPESMay 25, 2021
Details
- NPI
- 1043885643
- Entity type
- Organization (NPI-2)
- Legal business name
- Village Health Family NP PLLC
- Organization subpart
- No
- Enumeration date
- May 25, 2021
- Certification date
- May 25, 2021
- Last updated
- May 25, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QH0100X | Clinic/Center, Health Services | – | – | Yes |
| 251J00000X | Nursing Care | – | – | |
| 261QF0050X | Clinic/Center, Family Planning, Non-Surgical | – | – |
Practice location
4 John Calvin DrBlauvelt, NY 10913-1001
Phone 772-834-2444
Mailing address
Po Box 47Blauvelt, NY 10913-0047
Phone 772-834-2444
Authorized official
Kellie Leveille
Owner
7728342444
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