MEDICARE: PEDDYCOART NP IN FAMILY HEALTHP C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1831048982
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PEDDYCOART NP IN FAMILY HEALTHP C

Provider Business Mailing Address
First Line	:	5 BEACHRD
Second Line	:
City	:	MASSAPEUQA
State	:	NY
Zip	:	11758
Country	:	US
Telephone Number	:	631-655-5255
Fax Number	:

Provider Business Practice Location Address
First Line	:	5 BEACH RD
Second Line	:
City	:	MASSAPEQUA
State	:	NY
Zip	:	11758-6614
Country	:	US
Telephone Number	:	631-655-5255
Fax Number	:

Authorized Official
Title or Position	:	NP
Name	:	MS. DANIELLE PEDDYCOART
Credential	:	NP
Telephone Number	:	631-655-5255

Provider Enumeration Date	:	01/22/2026
Last Update Date	:	01/22/2026

Similar Medicare Providers

1619695475 — DANIELLE PEDDYCOART
Practice Location Address:

5 BEACH RD
MASSAPEQUA, NY
11758-6614

Practice Phone: 631-655-5255
Practice Fax:

1013840115 — JENNIFER ZHENG DPT
Practice Location Address:

1 E LINCOLN AVE
MASSAPEQUA, NY
11758-7722

Practice Phone: 917-963-7606
Practice Fax:

1538497037 — MRS. DANA ANN BERGIN DPT
Practice Location Address:

700 BROADWAY
MASSAPEQUA, NY
11758-2324

Practice Phone: 516-797-7003
Practice Fax: 516-797-7336

1669683280 — VADIM LERMAN D.O.
Practice Location Address:

5500 MERRICK ROAD
MASSAPEQUA, NY
11758

Practice Phone: 516-795-3033
Practice Fax:

1083851133 — ALL AMERICAN MEDICAL SUPPLY CORP
Practice Location Address:

5493 MERRICK RD
MASSAPEQUA, NY
11758-6215

Practice Phone: 516-375-3513
Practice Fax:

1225192719 — MICHAEL PITTELLI OD
Practice Location Address:

532 BROADWAY
MASSAPEQUA, NY
11758-5004

Practice Phone: 516-798-2635
Practice Fax:

Directions to “PEDDYCOART NP IN FAMILY HEALTHP C ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.