IndividualActive
Andre Mezilus
NPI 1952699399 · Licensed Practical Nurse · Coram, NY
Andre Mezilus is a Licensed Practical Nurse provider in Coram, NY (NPI 1952699399).
Provider details
- NPI number
- 1952699399
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 302390 (NY)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
4 Polk Ct
Apt P4
Coram, NY 11727-3915
Phone: (646) 894-1055
Street-level locationGet directions
Mailing address
4 Polk Ct
Coram, NY 11727-3915
Registry dates
- Enumerated
- 2011-07-19
- Last updated
- 2011-07-19
Frequently asked questions
- What is Andre Mezilus's NPI number?
- Andre Mezilus's National Provider Identifier (NPI) is 1952699399, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Andre Mezilus's specialty?
- Andre Mezilus is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).
- Where is Andre Mezilus located?
- Andre Mezilus's practice location on file with NPPES is 4 Polk Ct, Coram, NY 11727-3915.
- What is Andre Mezilus's phone number?
- The practice phone number listed in the NPPES registry for Andre Mezilus is (646) 894-1055.
- Is Andre Mezilus's NPI active?
- Yes — Andre Mezilus's NPI (1952699399) is active in the NPPES registry as of the last update on 2011-07-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.