Individual provider Active NPI

Joanne M Camarda, PNP

  • Pediatric Nurse Practitioner
  • Stony Brook, NY
National Provider Identifier
1023382660
Registry record updated Feb 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
38-382270 Issued in NY
Practice address
101 Nicolls Rd FL Hsc11
Stony Brook, NY 11794-2911
Phone
(631) 444-7720
Fax
(631) 444-7865
NPI assigned
Feb 29, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 38-382270 NY Primary

Addresses

Primary practice location

101 Nicolls Rd FL Hsc11
Stony Brook, NY 11794-2911

Mailing address

PO Box 1559
Stony Brook, NY 11790-0989
Phone (631) 444-7720

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
I20180315000538 NY Practitioner - Nurse Practitioner 9436411279 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38-382270NYMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospital at Stony Brook Current Accepting new patients
Stony Brook Children'S Service, University Faculty Practice Corporatio CurrentSince Mar 2, 2020 Accepting new patients

Locations

140 N Belle Mead Ave
Ste D
East Setauket, NY 11733
Phone (631) 638-2200

2701 Sunrise Hwy
Islip Terrace, NY 11752
Phone (631) 444-6300

Lauterbur Dr Level 5
Rm 5M0203
Stony Brook, NY 11794

101 Nicolls Rd
Fl HSC11
Stony Brook, NY 11794
Phone (631) 444-2648

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: joanne.camarda@direct.stonybrookmedicine.edu

Organizations & group practices 2

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": "1330473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1023382660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1559",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117900989",
            "telephone_number": "631-444-7720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 NICOLLS RD FL HSC11",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117942911",
            "telephone_number": "631-444-7720",
            "fax_number": "631-444-7865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMARDA",
        "first_name": "JOANNE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-29",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "38-382270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stony Brook, NY

Sources for this page

Verify at the official NPI Registry.