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

Individual provider Adult Health Nurse Practitioner · NPI 1790447688

Lisa Pereira, AGNP-C is a Nurse Practitioner in Port Jefferson, New York. Qualified in 2021, 5 years ago. Practices with Harbor View Medical Services PC, a 58-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2021
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Practice location Address checks out

70 N Country Rd Ste 102
Port Jefferson, NY 11777-2161
Phone: (631) 938-6999
Fax: (631) 403-2749
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence F310362 (NY)

Record details

NPI number1790447688
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP-C
Sole proprietorNo
NPI enumeratedOctober 8, 2021
Last updated in NPPESFebruary 6, 2024
Certification dateFebruary 6, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Harbor View Medical Services Pc — 58 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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