Dynamic Family Health NP PLLC
NPI 1487470423 · Family Nurse Practitioner · East Patchogue, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dynamic Family Health NP PLLC is a Family Nurse Practitioner organization in East Patchogue, NY (NPI 1487470423).
Provider details
- NPI number
- 1487470423
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Nickolas Jackson, Owner(347) 759-9040
Specialties & taxonomies
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
1 yr 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
- 2024-11-25
- Last updated
- 2024-11-25
- Certified
- 2024-11-24
Frequently asked questions
- What is Dynamic Family Health NP PLLC's NPI number?
- Dynamic Family Health NP PLLC's National Provider Identifier (NPI) is 1487470423, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dynamic Family Health NP PLLC?
- Dynamic Family Health NP PLLC is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Dynamic Family Health NP PLLC located?
- Dynamic Family Health NP PLLC's practice location on file with NPPES is 611 Medford Ave, East Patchogue, NY 11772-1307.
- What is Dynamic Family Health NP PLLC's phone number?
- The practice phone number listed in the NPPES registry for Dynamic Family Health NP PLLC is (929) 519-4039.
- Does Dynamic Family Health NP PLLC accept Medicare?
- Dynamic Family Health NP PLLC 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 Dynamic Family Health NP PLLC?
- The authorized official listed on Dynamic Family Health NP PLLC's NPPES record is Nickolas Jackson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dynamic Family Health NP PLLC's NPI active?
- Yes — Dynamic Family Health NP PLLC's NPI (1487470423) is active in the NPPES registry as of the last update on 2024-11-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.