Active NPI
Dana Protomastro, NP
- Nurse Practitioner
- Mount Kisco, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 310283
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211201001955 | NY | Practitioner - Nurse Practitioner | 3274923537 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 310283 | NY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Medical Care, P.C. | Current | Accepting new patients | |
| North Shore-Lij Medical PC | Current | Accepting new patients | |
| North Shore - Lij Medical PC | Current | Accepting new patients | |
| Optum Medical Care, P.C. | Current | 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.
-
- Internal Medicine Physician
- New Hyde Park, NY
- NPI 1790043479
-
- Durable Medical Equipment & Medical Supplies
- New Hyde Park, NY
- NPI 1053190595
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
- Practical Chiropractic, P.C.
- Premier Psychology Services, LLP
- Stephanie Marie Prevost, AUD
- Professional Occupational & Physical Therapy, PLLC
- Professional Orthopedic and Sports Physical Therapy PC
- Melissa Marie Bennett Provost, FNP-BC
- Illyria Puharich, LCSW-R
- Manjju Agnes Pulickal, CRNA
- Susan Remmer Pulling, MS, RD
- Olga Pyrig, PHARM.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.