Active NPI
Fern Baudo, RN, NP BC APRN
- Adult Health Nurse Practitioner
- Williston Park, NY
National Provider Identifier
1154544500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- F303237
- Practice address
- 108 Capitol Ave
Williston Park, NY 11596-1621 - Phone
- (646) 235-4633
- NPI assigned
- Apr 11, 2007
- Last updated
- Sep 26, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | F303237 | NY | Primary |
| Hospice Registered Nurse | 163WH1000X | 476531 | NY |
Addresses
Primary practice location
108 Capitol Ave
Williston Park, NY 11596-1621
Mailing address
283 E 4TH St
Apt #5a
New York, NY 10009-7533
Phone (646) 235-4633
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F303237 | Other | NY | NP LICENSE NUMBER |
Other names 1
- Ms. Fern Wasserman
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)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 476531 | NY | MD | Hospice Registered Nurse |
| 303237 | NY | MD | Licensed Practical Nurse |
| F303237 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fern Baudo Adult Health Nurse Practitioner PC | Adult Health | Current | Accepting new patients |
| Northern Valley Vascular Associates | Past | Accepting new patients | |
| New York Legal Nurse Consultants Inc | Adult Health | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Adult Health Nurse Practitioner
- Williston Park, NY
- NPI 1114278413
-
dba Nylnc
- Adult Health Nurse Practitioner
- Williston Park, NY
- NPI 1518220730
-
- Vascular Surgery Physician
- Old Tappan, NJ
- NPI 1124035217
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348617600000",
"number": "1154544500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "283 E 4TH ST",
"address_2": "APT #5A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100097533",
"telephone_number": "646-235-4633",
"fax_number": "646-964-4994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 CAPITOL AVE",
"city": "WILLISTON PARK",
"state": "NY",
"postal_code": "115961621",
"telephone_number": "646-235-4633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUDO",
"first_name": "FERN",
"name_prefix": "Mrs.",
"credential": "RN, NP BC APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-11",
"last_updated": "2012-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F303237",
"primary": true
},
{
"code": "163WH1000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Hospice",
"state": "NY",
"license": "476531",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NP LICENSE NUMBER",
"identifier": "F303237",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "FERN",
"last_name": "WASSERMAN",
"prefix": "MS.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Williston Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.