Active NPI
Joan Marie McMahon-Kardos
- General Practice Registered Nurse
- Garnerville, NY
National Provider Identifier
1043539463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Registered Nurse
- License
- RN9563356
- Practice address
- 12 Silvestro Way
Garnerville, NY 10923-1835 - Phone
- (845) 551-7670
- NPI assigned
- May 25, 2010
- Last updated
- Oct 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 350885 | NY | |
| General Practice Registered Nurse | 163WG0000X | RN9563356 | FL | Primary |
Addresses
Primary practice location
12 Silvestro Way
Garnerville, NY 10923-1835
Mailing address
8708 Treasure Cay
West Palm Beach, FL 33411-5502
Phone (845) 587-7179
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043539463 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jkardos@whiteglovecare.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 350885 | NY | MD | Registered Nurse |
| RN9563356 | FL | MD | General Practice Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666310400000",
"number": "1043539463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8708 TREASURE CAY",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334115502",
"telephone_number": "845-587-7179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 SILVESTRO WAY",
"city": "GARNERVILLE",
"state": "NY",
"postal_code": "109231835",
"telephone_number": "845-551-7670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMAHON-KARDOS",
"first_name": "JOAN MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-25",
"last_updated": "2022-10-21",
"certification_date": "2022-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "350885",
"primary": false
},
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "FL",
"license": "RN9563356",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1043539463",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jkardos@whiteglovecare.net",
"affiliation": "N",
"address_1": "5737 Okeechobee Blvd",
"city": "West Palm Beach",
"state": "FL",
"country_code": "US",
"postal_code": "334174366",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Garnerville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.