Active NPI
Maria Regina Scudiero, NURSE PRACTICIONER
- Family Nurse Practitioner
- Brooklyn, NY
National Provider Identifier
1043055783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 354586
- Practice address
- 213 Bay 8TH St
Brooklyn, NY 11228-3808 - Phone
- (917) 293-8000
- NPI assigned
- Jun 25, 2024
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 354586 | NY | Primary |
Addresses
Primary practice location
213 Bay 8TH St
Brooklyn, NY 11228-3808
Mailing address
265 Mason Ave
Staten Island, NY 10305-3412
Phone (917) 293-8000
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 |
|---|---|---|---|---|
| I20241022004597 | NY | Practitioner - Nurse Practitioner | 8123551611 | Reassigns benefits to 6 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 354586 | NY | MD | Family Nurse Practitioner |
Practice roles (4 of 8)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesis Medical Health PC | Current | Accepting new patients | |
| QHC Upstate Medical, P.C. | Current | Accepting new patients | |
| Mason Medical Practice PLLC | Current | Accepting new patients | |
| Premier Medical, PLLC | Current | Accepting new patients |
Locations
1555 Rockaway Pkwy
Brooklyn, NY 11236
Phone (718) 307-5460
15 Monsey Blvd
Monsey, NY 10952
Phone (845) 356-3400
19 Prince St
Monticello, NY 12701
Phone (845) 791-8101
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 7
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
- Jamaica, NY
- NPI 1184311441
NY
-
- Internal Medicine Physician
- Staten Island, NY
- NPI 1962682864
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744156800000",
"number": "1043055783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "265 MASON AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103053412",
"telephone_number": "917-293-8000",
"fax_number": "718-887-2280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "213 BAY 8TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112283808",
"telephone_number": "917-293-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCUDIERO",
"first_name": "MARIA",
"middle_name": "REGINA",
"name_prefix": "Ms.",
"credential": "NURSE PRACTICIONER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-25",
"last_updated": "2025-04-09",
"certification_date": "2025-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "354586",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.