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

Danielle Peddycoart

Individual provider Family Nurse Practitioner · NPI 1619695475

Danielle Peddycoart is a Nurse Practitioner in Massapequa, New York. Qualified in 2022, 4 years ago. Practices as a sole proprietor. Licensed in New York.

Years since qualifying
4
Licensed in
NY
In the registry since
2022
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

5 Beach Rd
Massapequa, NY 11758-6614
Phone: (631) 655-5255
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F349991-01 (NY)

Record details

NPI number1619695475
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 18, 2022
Last updated in NPPESAugust 18, 2022
Certification dateAugust 18, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in Massapequa