MEDICARE: NAVARO NP IN PSYCHIATRY CARE PLLC

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	363LF0000X	Family Nurse Practitioner
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1225963937
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NAVARO NP IN PSYCHIATRY CARE PLLC

Provider Business Mailing Address
First Line	:	4864 ARTHUR KILL RD STE 6
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10309-2655
Country	:	US
Telephone Number	:	201-780-9054
Fax Number	:

Provider Business Practice Location Address
First Line	:	4864 ARTHUR KILL RD STE 6
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10309-2655
Country	:	US
Telephone Number	:	201-780-9054
Fax Number	:

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	TIMOTHY SSEWAGABA
Credential	:	NP
Telephone Number	:	201-780-9054

Provider Enumeration Date	:	06/15/2026
Last Update Date	:	06/15/2026

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