Sp Nurse Practitioner in Adult Health PC
NPI 1316654353ActiveOrganization· Nurse Practitioner, Psych/Mental Health· Long Beach, NY
Nurse Practitioner, Psych/Mental Health in Long Beach, New York, registered in NPPES in October 2022. The authorized official on file is Seda Angelina Port, NP, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1316654353 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 31, 2022 |
| Last updated in NPPES | Mar 30, 2023 |
| Certified by provider | Mar 30, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Psych/Mental Health Primary | 363LP0808X | — | — |
| Nurse Practitioner, Adult Health | 363LA2200X | — | — |
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) |
|---|
Other psychiatric nurse practitioners in Long Beach
- 1710085428
- 1013681113
- 1396820015
- 1508346321
- 1851458913
- 1184039893
- 1548041759
- 1528593340
- 1720687015
- 1871427179
- 1396450854