Individual provider Active NPI

Carmel Christine Matheus, RN

  • Registered Nurse
  • Farmingdale, NY
National Provider Identifier
1174243471
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
848335-01 Issued in NY
Practice address
24 Roberts St
Farmingdale, NY 11735-5042
Phone
(516) 293-0051
Fax
(516) 293-0054
NPI assigned
Aug 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 848335-01 NY Primary

Addresses

Primary practice location

24 Roberts St
Farmingdale, NY 11735-5042

Mailing address

275 Pennsylvania Ave
Freeport, NY 11520-1328
Phone (516) 323-9676

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
848335-01NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Milestones in Home Care,Inc. PastSince Sep 4, 2022 Accepting new patients
Milestone in Home Care Inc PastSince Sep 4, 2022 Accepting new patients

Organizations & group practices 2

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": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1174243471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 PENNSYLVANIA AVE",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115201328",
            "telephone_number": "516-323-9676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 ROBERTS ST",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117355042",
            "telephone_number": "516-293-0051",
            "fax_number": "516-293-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEUS",
        "first_name": "CARMEL",
        "middle_name": "CHRISTINE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "848335-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmingdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.