Individual provider Active NPI

Mari Kashiwai Chen, NP

  • Nurse Practitioner
  • New York, NY
National Provider Identifier
1003323312
Registry record updated Jan 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F342080-1 Issued in NY
Practice address
625 Madison Ave FL 2
New York, NY 10022-1800
Phone
(917) 573-6838
NPI assigned
Jan 8, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X F342080-1 NY Primary

Addresses

Primary practice location

625 Madison Ave FL 2
New York, NY 10022-1800

Mailing address

322 W 57TH St Apt 23Q
New York, NY 10019-3731
Phone (917) 573-6838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F342080-1NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai Single Specialty Current Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Oct 2, 2018 Accepting new patients
Icahn School of Medicine at Mount Sinai Single Specialty CurrentSince Jul 4, 2023 Accepting new patients
Icahn School of Medicine at Mount Sinai Single Specialty CurrentSince Oct 2, 2018 Accepting new patients

Locations

2510 30th Ave
Long Island City, NY 11102
Phone (718) 267-4245

150 E 42nd St
Fl 2E678
New York, NY 10017

5 E 98th St
New York, NY 10029
Phone (212) 241-3986

625 Madison Ave
Fl 2
New York, NY 10022
Phone (212) 241-4812

520 Main St
Roosevelt Island, NY 10044
Phone (212) 832-2310

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1515369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515369600000",
    "number": "1003323312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 W 57TH ST APT 23Q",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193731",
            "telephone_number": "917-573-6838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 MADISON AVE FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221800",
            "telephone_number": "917-573-6838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "MARI",
        "middle_name": "KASHIWAI",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-08",
        "last_updated": "2018-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F342080-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.