Provider Demographics
NPI:1134731151
Name:ADULT & PEDIATRIC NP HOUSE CALLS
Entity type:Organization
Organization Name:ADULT & PEDIATRIC NP HOUSE CALLS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:NP, SOLE PROPRIETOR, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:TEMPESTA
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:917-526-2884
Mailing Address - Street 1:PO BOX 427
Mailing Address - Street 2:
Mailing Address - City:GLENWOOD LANDING
Mailing Address - State:NY
Mailing Address - Zip Code:11547
Mailing Address - Country:US
Mailing Address - Phone:917-526-2884
Mailing Address - Fax:
Practice Address - Street 1:13 GLEN LANE
Practice Address - Street 2:
Practice Address - City:GLENWOOD LANDING
Practice Address - State:NY
Practice Address - Zip Code:11547
Practice Address - Country:US
Practice Address - Phone:516-725-5853
Practice Address - Fax:516-709-3990
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-20
Last Update Date:2021-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty