Organization Active NPI

Luca Radomile NP in Psychiatry PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1053086744
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
LUCA RADOMILE NP IN PSYCHIATRY PLLC
Practice address
271 Cadman PLZ E # 24952
Brooklyn, NY 11201-1835
Phone
(914) 732-0332
Fax
(347) 697-4825
NPI assigned
Aug 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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

Authorized official

Name
Luca Radomile, MSN, APRNNPI 1669036851
Title
Owner of Entity
Phone
(914) 732-0332

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

271 Cadman PLZ E # 24952
Brooklyn, NY 11201-1835

Mailing address

271 Cadman PLZ E Unit 24952
Brooklyn, NY 11202-8255
Phone (914) 732-0332

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210827001452 NY Part B Supplier - Clinic/Group Practice 9739584814 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

271 Cadman Plz E
#24952
Brooklyn, NY 11201
Phone (914) 732-0332

271 Cadman Plz E
Unit 24952
Brooklyn, NY 11202

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1628812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631750400000",
    "number": "1053086744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 CADMAN PLZ E UNIT 24952",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112028255",
            "telephone_number": "914-732-0332",
            "fax_number": "347-697-4825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 CADMAN PLZ E # 24952",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112011835",
            "telephone_number": "914-732-0332",
            "fax_number": "347-697-4825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCA RADOMILE NP IN PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-13",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A",
        "authorized_official_last_name": "RADOMILE",
        "authorized_official_first_name": "LUCA",
        "authorized_official_title_or_position": "OWNER OF ENTITY",
        "authorized_official_telephone_number": "914-732-0332",
        "authorized_official_credential": "MSN, APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "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 Sep 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.