Active NPI
Ana V. Payano, FNP
- Family Nurse Practitioner
- Massapequa, NY
National Provider Identifier
1154909281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F339943-01
- Practice address
- 5509 Merrick Rd
Massapequa, NY 11758-6215 - Phone
- (631) 983-4419
- NPI assigned
- Mar 30, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F339943-01 | NY | Primary |
Addresses
Primary practice location
5509 Merrick Rd
Massapequa, NY 11758-6215
Mailing address
5509 Merrick Rd
Massapequa, NY 11758-6215
Phone (631) 983-4419
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F339943-01 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ultrasonics Diagnostics LLC | Multi-Specialty | Current | Accepting new patients |
Locations
7309 Myrtle Ave
Glendale, NY 11385
Phone (718) 456-7270
7309 Myrtle Ave
Fl 1
Glendale, NY 11385
Phone (718) 497-1429
Interoperability endpoints
- https://api.platform.athenahealth.com/12931/brand/1/csg/1/fhir/r4
Organizations & group practices 1
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": "1617062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660608000000",
"number": "1154909281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5509 MERRICK RD",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "117586215",
"telephone_number": "631-983-4419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5509 MERRICK RD",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "117586215",
"telephone_number": "631-983-4419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYANO",
"first_name": "ANA",
"middle_name": "V.",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-30",
"last_updated": "2022-08-16",
"certification_date": "2022-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F339943-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Massapequa, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.