Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Aging Well RN NP Family Health PLLC

Organization Primary Care Nurse Practitioner · NPI 1629202478

Aging Well RN NP Family Health PLLC is a Primary Care Nurse Practitioner in Staten Island, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2009
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

774 Manor Rd
Staten Island, NY 10314-7038
Phone: (718) 496-2542
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1110 South Ave Ste 404, Staten Island, NY 10314-3411 — (800) 277-4680

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X (NY)

Record details

NPI number1629202478
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Azza Ezzat — President · (717) 716-7107
NPI enumeratedMay 7, 2009
Last updated in NPPESApril 24, 2026
Certification dateApril 24, 2026
Mailing address796 Rathbun Ave, Staten Island, NY 10309-2409

Other providers in Staten Island