Individual provider Active NPI

Maria Regina Scudiero, NURSE PRACTICIONER

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1043055783
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
354586 Issued in NY
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

Updated by the provider on Apr 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241022004597 NY Practitioner - Nurse Practitioner 8123551611 Reassigns benefits to 6 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
354586NYMDFamily Nurse Practitioner

Practice roles (4 of 8)

OrganizationSpecialtyStatusNew patients
Genesis Medical Health PC CurrentSince Nov 18, 2024 Accepting new patients
QHC Upstate Medical, P.C. CurrentSince Sep 1, 2024 Accepting new patients
Mason Medical Practice PLLC CurrentSince Sep 1, 2025 Accepting new patients
Premier Medical, PLLC CurrentSince Apr 13, 2025 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.