South Street Health Services Family Health and Psychiatry Nps PLLC
NPI 1104442458ActiveOrganization· Nurse Practitioner· Lockport, NY
Nurse Practitioner in Lockport, New York, registered in NPPES in June 2020. The authorized official on file is David Martin Julien, FNP, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1104442458 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 23, 2020 |
| Last updated in NPPES | Jun 23, 2020 |
| Certified by provider | Jun 23, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NY) |
|---|
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