DANIELLE LOUISE SEVASTAKIS FNP-C NPI 1114794716

NPI Information

  • NPI: 1114794716
  • Provider Name: DANIELLE LOUISE SEVASTAKIS, FNP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 424 S MAIN ST
    FORKED RIVER, NJ
    ZIP 08731
  • Phone: (609) 971-3500

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NPI Details

Danielle Louise Sevastakis, FNP-C is a family nurse practitioner in Forked River, NJ with 3 years of experience. Danielle Louise Sevastakis, FNP-C NPI is 1114794716. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

424 S MAIN ST
FORKED RIVER, NJ
ZIP 08731-654
Phone: (609) 971-3500

The NPI 1114794716 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 12/5/2023 and was last updated on 9/26/2024.

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
1363LF0000XNurse PractitionerFamily26NJ14957600NEW JERSEYYes

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: 11/21/2025

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