Individual provider Active NPI

Dana Protomastro, NP

  • Nurse Practitioner
  • Mount Kisco, NY
National Provider Identifier
1023136249
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
310283 Issued in NY
Practice address
666 Lexington Ave Ste 100
Mount Kisco, NY 10549-3637
Phone
(914) 215-1616
Fax
(914) 898-5878
NPI assigned
Mar 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 310283 NY Primary

Addresses

Primary practice location

666 Lexington Ave Ste 100
Mount Kisco, NY 10549-3637

Mailing address

666 Lexington Ave Ste 100
Mount Kisco, NY 10549-3637
Phone (914) 215-1616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211201001955 NY Practitioner - Nurse Practitioner 3274923537 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
310283NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Care, P.C. CurrentSince Dec 1, 2021 Accepting new patients
North Shore-Lij Medical PC CurrentSince Jan 10, 2023 Accepting new patients
North Shore - Lij Medical PC CurrentSince Jan 10, 2023 Accepting new patients
Optum Medical Care, P.C. CurrentSince Dec 1, 2021 Accepting new patients

Locations

110 S Bedford Rd
Mount Kisco, NY 10549
Phone (763) 910-9192

400 E Main St
Mount Kisco, NY 10549
Phone (914) 666-1200

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

300 Community Dr
Plandome, NY 11030

Philadelphia, PA 19195

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": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1023136249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "666 LEXINGTON AVE STE 100",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493637",
            "telephone_number": "914-215-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "666 LEXINGTON AVE STE 100",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493637",
            "telephone_number": "914-215-1616",
            "fax_number": "914-898-5878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROTOMASTRO",
        "first_name": "DANA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "310283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Kisco, NY

Sources for this page

Verify at the official NPI Registry.