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

William D Nunn II

Individual provider Pediatrics Physician · NPI 1134860786

William D Nunn II is a Pediatric Medicine in Lake Grove, New York. Qualified in 2022, 4 years ago. Licensed in New York.

Years since qualifying
4
Licensed in
NY
In the registry since
2022
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Practice location Address checks out

4 Smith Haven Mall
Lake Grove, NY 11755-1219
Phone: (631) 444-7337
Fax: (631) 444-2894
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 336386 (NY)

Record details

NPI number1134860786
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 6, 2022
Last updated in NPPESJuly 30, 2025
Certification dateJuly 30, 2025
Mailing address101 Nicolls Rd, Hsc Level 11 Rm 040, Stony Brook, NY 11794

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Lake Grove