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NPI 1629768510ActiveOrganization· Nurse Practitioner, Family· Freeport, NY

Nurse Practitioner, Family in Freeport, New York, registered in NPPES in May 2023. The authorized official on file is Shakiraye Rookwood, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1629768510
StatusActive
Entity typeOrganization
NPI issuedMay 12, 2023
Last updated in NPPESJun 19, 2023
Certified by providerJun 19, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner, Family Primary363LF0000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (NY)

Medicare sources and data years

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