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

Maria Pezzolla

Individual provider Family Nurse Practitioner · NPI 1881129633

Maria Pezzolla is a Nurse Practitioner in North Babylon, New York. Qualified in 2016, 10 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
10
Licensed in
NY
In the registry since
2017
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Practice location Address checks out

1400 Deer Park Ave Ste 2
North Babylon, NY 11703-1618
Phone: (631) 669-6666
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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 F340857-1 (NY)

Record details

NPI number1881129633
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 28, 2017
Last updated in NPPESApril 28, 2017
Mailing address1991 Nantucket Rd, Merrick, NY 11566-1610

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in North Babylon