KEVIN HUGH PADBERG NP NPI 1962412205

NPI Information

NPI: 1962412205
Provider Name: KEVIN HUGH PADBERG, NP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
15 HORSEBLOCK PL
FARMINGVILLE, NY
ZIP 11738
Phone: (631) 854-2552
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Kevin Hugh Padberg, NP is a psychiatric/mental health nurse practitioner in Farmingville, NY. Kevin Hugh Padberg, NP NPI is 1962412205. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

15 HORSEBLOCK PL
FARMINGVILLE, NY
ZIP 11738-204
Phone: (631) 854-2552

The enumeration date for this NPI number is 8/9/2006 and was last updated on 9/3/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	F400480	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P12445	MEDICARE UPIN	NEW YORK
2	96N121	MEDICARE PIN	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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