SHAYNA MADELEINE SACCARO NP NPI 1568614733

NPI Information

NPI: 1568614733
Provider Name: SHAYNA MADELEINE SACCARO, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
6144 ROUTE 25A STE 19
WADING RIVER, NY
ZIP 11792
Phone: (631) 751-0000
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Shayna Madeleine Saccaro, NP is a family nurse practitioner in Wading River, NY. 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
1	164W00000X	Licensed Practical Nurse		294869	NEW YORK	No
2	363LF0000X	Nurse Practitioner	Family	346025	NEW YORK	Yes

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: 11/14/2023

NPI Synchronization or Removal

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