Individual provider Active NPI

Joan Marie McMahon-Kardos

  • General Practice Registered Nurse
  • Garnerville, NY
National Provider Identifier
1043539463
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
RN9563356 Issued in FL
Practice address
12 Silvestro Way
Garnerville, NY 10923-1835
Phone
(845) 551-7670
NPI assigned
May 25, 2010
Last updated
Oct 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1043539463MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
350885NYMDRegistered Nurse
RN9563356FLMDGeneral 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.

Verify at the official NPI Registry.