Stephanie Radske-Inzerillo, FNP
Nurse Practitioner, Family in New Hyde Park, NY. Individual provider (NPI-1).
NPI number1124746367
StatusActive
Last updated in NPPESAug 15, 2022
Details
- NPI
- 1124746367
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Stephanie Radske-Inzerillo
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 15, 2022
- Certification date
- Jun 28, 2022
- Last updated
- Aug 15, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- 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 |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 350172 | NY | Yes |
| 163W00000X | Registered Nurse | 718630 | NY |
Practice location
450 Lakeville RdNew Hyde Park, NY 11042-1118
Phone 516-734-8500
Mailing address
450 Lakeville RdNew Hyde Park, NY 11042-1118
Phone 516-734-8500
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