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

Fereshta Azizy

Individual provider Acute Care Nurse Practitioner · NPI 1528669975

Fereshta Azizy is a Nurse Practitioner in Whitestone, New York. Qualified in 2020, 6 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2020

Practice location Address checks out

1806 Parsons Blvd
Whitestone, NY 11357-3042
Phone: (609) 598-0597
Show map & directions

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

Additional practice locations (1)

  • 300 Community Dr, Manhasset, NY 11030-3816 — (516) 562-0100

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 431777 (NY)

Record details

NPI number1528669975
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 3, 2020
Last updated in NPPESNovember 3, 2020
Certification dateNovember 3, 2020
Mailing address1806 Parsons Blvd, Whitestone, NY 11357-3042

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Whitestone