VESTA YAZDANSETA NURSE PRACTITIONER NPI 1407174956

NPI Information

  • NPI: 1407174956
  • Provider Name: VESTA YAZDANSETA, NURSE PRACTITIONER
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 29 BRANCH LN
    EAST SETAUKET, NY
    ZIP 11733
  • Phone: (631) 681-9228

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NPI Details

Vesta Yazdanseta, NURSE PRACTITIONER is a gerontology nurse practitioner in East Setauket, NY. Vesta Yazdanseta, NURSE PRACTITIONER NPI is 1407174956. 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:

29 BRANCH LN
EAST SETAUKET, NY
ZIP 11733-316
Phone: (631) 681-9228
Fax: (631) 681-9228

The NPI 1407174956 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/7/2010 and was last updated on 7/21/2022.

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
1163W00000XRegistered Nurse622666-1NEW YORKNo
2363LG0600XNurse PractitionerGerontologyF307382-1NEW YORKYes

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
1F307382-1MEDICAIDNEW 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: 11/21/2025

NPI Synchronization or Removal

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