Individual provider · Type 1 NPI

Alexandra Marte Penalver

Nurse Practitioner · Commack, NY

NPI number 1700686375 Active

Practice location

763 Larkfield Rd Fl 2
Commack, NY 11725-3131

Mailing address

281 Lilac Ln
Smithtown, NY 11787-4412

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X356891 (NY)
Registered Nurse 163W00000XRN9443931 (FL)
Registered Nurse 163W00000X800796 (NY)
Registered Nurse 163W00000X26NR19050600 (NJ)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1700686375

Alexandra Marte Penalver's National Provider Identifier is 1700686375, issued on Mar 13, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Commack, NY. The record was last updated on Sep 16, 2025.