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

Talia Roffel

Individual provider Family Nurse Practitioner · NPI 1356956726

Talia Roffel is a Nurse Practitioner in Great Neck, New York. Qualified in 2020, 6 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2020
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Practice location Address checks out

611 Northern Blvd
Great Neck, NY 11021-5207
Phone: (516) 325-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 300 Community Dr, Manhasset, NY 11030-3876 — (516) 562-0100

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F346066 (NY)

Record details

NPI number1356956726
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 12, 2020
Last updated in NPPESOctober 6, 2021
Certification dateOctober 6, 2021
Mailing address320 Longwood Xing, Lawrence, NY 11559-2715

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
TelehealthOffers telehealth services

Other providers in Great Neck