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

Health-Based Primary Care

Organization Family Nurse Practitioner · NPI 1992545214

Health-Based Primary Care is a Family Nurse Practitioner in Port Jefferson, New York. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

11 Gladysz Way
Port Jefferson, NY 11777-2263
Phone: (917) 326-1701
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1992545214
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shereda Lawrence — Nurse Practitioner · (917) 326-1701
NPI enumeratedMay 27, 2024
Last updated in NPPESNovember 12, 2024
Certification dateNovember 12, 2024
Mailing address11 Gladysz Way, Port Jefferson, NY 11777-2263

Other providers in Port Jefferson