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

Elcy Santosh, FNP

Individual provider Registered Nurse · NPI 1689153199

Elcy Santosh, FNP is a Nurse Practitioner in Mineola, New York. Qualified in 2017, 9 years ago. Practices with 210 Mjd Medical PLLC, a 3-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
9
Licensed in
NY
In the registry since
2018
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

210 Old Country Rd
Mineola, NY 11501-4218
Phone: (516) 279-4400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F342722 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 511177 (NY)

Record details

NPI number1689153199
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedAugust 7, 2018
Last updated in NPPESAugust 7, 2018
Mailing address39 Lowell St, Hicksville, NY 11801-2529

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice 210 Mjd Medical Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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