Sp Nurse Practitioner in Adult Health PC
NPI 1316654353 · Psychiatric/Mental Health Nurse Practitioner · Long Beach, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sp Nurse Practitioner in Adult Health PC is a Psychiatric/Mental Health Nurse Practitioner organization in Long Beach, NY (NPI 1316654353).
Provider details
- NPI number
- 1316654353
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Seda Port, Owner(212) 961-6767
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Adult Health Nurse Practitioner363LA2200X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES 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
- 2022-10-31
- Last updated
- 2023-03-30
- Certified
- 2023-03-30
Frequently asked questions
- What is Sp Nurse Practitioner in Adult Health PC's NPI number?
- Sp Nurse Practitioner in Adult Health PC's National Provider Identifier (NPI) is 1316654353, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sp Nurse Practitioner in Adult Health PC?
- Sp Nurse Practitioner in Adult Health PC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Sp Nurse Practitioner in Adult Health PC located?
- Sp Nurse Practitioner in Adult Health PC's practice location on file with NPPES is 428 E Harrison St, Long Beach, NY 11561-2346.
- What is Sp Nurse Practitioner in Adult Health PC's phone number?
- The practice phone number listed in the NPPES registry for Sp Nurse Practitioner in Adult Health PC is (212) 961-6767.
- Does Sp Nurse Practitioner in Adult Health PC accept Medicare?
- Sp Nurse Practitioner in Adult Health PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Sp Nurse Practitioner in Adult Health PC?
- The authorized official listed on Sp Nurse Practitioner in Adult Health PC's NPPES record is Seda Port, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sp Nurse Practitioner in Adult Health PC's NPI active?
- Yes — Sp Nurse Practitioner in Adult Health PC's NPI (1316654353) is active in the NPPES registry as of the last update on 2023-03-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.