Active NPIIndividual provider

Elizabeth A Bennett-Garguilo, PMHNP

Nurse Practitioner, Psych/Mental Health in Staten Island, New York

NPI Number1225716426
Practice location
57 Bay St, Staten Island, NY 10301-2510
Fax
845-765-9324
Last updated
September 11, 2026

Elizabeth Anne Bennett-Garguilo is a Nurse Practitioner, Psych/Mental Health based in Staten Island, NY. Elizabeth Anne Bennett-Garguilo practices in Staten Island, NY and has the professional credentials of PMHNP. The NPI Number for Elizabeth Anne Bennett-Garguilo is 1225716426 and holds a License No. 258625 (AK). The current practice location address for Elizabeth Anne Bennett-Garguilo is 57 Bay St, Staten Island, NY 10301-2510 and can be reached out via phone at 855-681-8700 and via fax at 845-765-9324.

Provider Profile Details

NPI Number
1225716426
Provider Name
Elizabeth Anne Bennett-Garguilo
Credential
PMHNP
Provider Entity Type
Individual
Gender
Female
Address
57 Bay St, Staten Island, NY 10301-2510
Phone Number
855-681-8700
Fax Number
845-765-9324
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
No
Provider Enumeration Date
July 7, 2023
Last Update Date
September 11, 2026
Certification Date
September 11, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
57 Bay St
Staten Island, NY 10301-2510
Zip
10301-2510
Phone Number
855-681-8700
Fax Number
845-765-9324
Staten Island, NY 10301Get directions →

Provider Business Mailing Address Details

Address
Po Box 5036
White Plains, NY 10602-5036
City
White Plains
State
NY
Zip
10602-5036
Phone Number
914-898-9421
Fax Number
914-734-8786

License Information

License Number (1)
258625
License State (1)
AK
Taxonomy (1)
Nurse Practitioner, Psych/Mental Health · 363LP0808X
License Number (2)
351663
License State (2)
NY
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X
License Number (3)
26NR19772700
License State (3)
NJ
Taxonomy (3)
Registered Nurse · 163W00000X
License Number (4)
407509
License State (4)
NY
Taxonomy (4)
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
License Number (5)
26NJ14892400
License State (5)
NJ
Taxonomy (5)
Nurse Practitioner, Psych/Mental Health · 363LP0808X
License Number (6)
258624
License State (6)
AK
Taxonomy (6)
Registered Nurse · 163W00000X
License Number (7)
735422
License State (7)
NY
Taxonomy (7)
Registered Nurse · 163W00000X
License Number (8)
26NJ14892400
License State (8)
NJ
Taxonomy (8)
Nurse Practitioner, Family · 363LF0000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Elizabeth A Bennett-Garguilo, PMHNP?

The NPI number of Elizabeth A Bennett-Garguilo, PMHNP is 1225716426. It was assigned on July 7, 2023 and is currently active in the NPPES registry.

What is the specialty of Elizabeth A Bennett-Garguilo, PMHNP?

Elizabeth A Bennett-Garguilo, PMHNP is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in AK under license number 258625.

Where does Elizabeth A Bennett-Garguilo, PMHNP practice?

The practice location is 57 Bay St, Staten Island, NY 10301-2510. The office can be reached at 855-681-8700 (phone) or 845-765-9324 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1225716426 directly on the NPPES registry website.

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