SHAYNA MADELEINE SACCARO NP NPI 1568614733

NPI Information

  • NPI: 1568614733
  • Provider Name: SHAYNA MADELEINE SACCARO, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6144 ROUTE 25A STE 19
    WADING RIVER, NY
    ZIP 11792
  • Phone: (631) 751-0000

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NPI Details

Shayna Madeleine Saccaro, NP is a family nurse practitioner in Wading River, NY with 6 years of experience. Shayna Madeleine Saccaro, NP NPI is 1568614733. 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:

6144 ROUTE 25A STE 19
WADING RIVER, NY
ZIP 11792-015
Phone: (631) 751-0000
Fax: (631) 751-0506

The NPI 1568614733 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 10/18/2008 and was last updated on 9/30/2020.

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
1164W00000XLicensed Practical Nurse294869NEW YORKNo
2363LF0000XNurse PractitionerFamily346025NEW YORKYes

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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