Breona Petteway Support Services Incorporated
NPI 1194674622 · Licensed Practical Nurse · Wyandanch, NY
Breona Petteway Support Services Incorporated is a Licensed Practical Nurse organization in Wyandanch, NY (NPI 1194674622).
Provider details
- NPI number
- 1194674622
- Entity type
- Organization
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Organization subpart
- No
- Authorized official
- Breona Petteway, LPN(934) 256-2441
Specialties & taxonomies
Nursing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2026-01-27
- Last updated
- 2026-01-27
- Certified
- 2026-01-27
Frequently asked questions
- What is Breona Petteway Support Services Incorporated's NPI number?
- Breona Petteway Support Services Incorporated's National Provider Identifier (NPI) is 1194674622, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Breona Petteway Support Services Incorporated?
- Breona Petteway Support Services Incorporated is classified in the NPPES registry as Licensed Practical Nurse (Nursing Service Providers).
- Where is Breona Petteway Support Services Incorporated located?
- Breona Petteway Support Services Incorporated's practice location on file with NPPES is 18 Lake Dr, Wyandanch, NY 11798-3430.
- What is Breona Petteway Support Services Incorporated's phone number?
- The practice phone number listed in the NPPES registry for Breona Petteway Support Services Incorporated is (934) 256-2441.
- Who is the authorized official for Breona Petteway Support Services Incorporated?
- The authorized official listed on Breona Petteway Support Services Incorporated's NPPES record is Breona Petteway, LPN. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Breona Petteway Support Services Incorporated's NPI active?
- Yes — Breona Petteway Support Services Incorporated's NPI (1194674622) is active in the NPPES registry as of the last update on 2026-01-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.