Active NPI
Karen S Ferdinand, NP
- Nurse Practitioner
- East Patchogue, NY
National Provider Identifier
1174506158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- F303346-1
- Practice address
- 285 Sills Rd
BLDG. 14
East Patchogue, NY 11772-4869 - Phone
- (631) 447-8300
- Fax
- (631) 447-8872
- NPI assigned
- Nov 23, 2005
- Last updated
- Mar 7, 2023
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 002595 | CT | |
| Nurse Practitioner | 363L00000X | F303346-1 | NY | Primary |
Addresses
Primary practice location
285 Sills Rd
BLDG. 14
East Patchogue, NY 11772-4869
Mailing address
285 Sills Rd
BLDG. 14
East Patchogue, NY 11772-4869
Phone (631) 447-8300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 025950 | Other | CT | CONNECTICARE |
| 400002595CT02 | Other | CT | ANTHEM |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002595 | CT | MD | Nurse Practitioner |
| F303346-1 | NY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Winthrop Community Medical Affiliates PC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba NYU Winthrop Medical Affiliates
- Internal Medicine Physician
- Mineola, NY
- NPI 1457873077
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1174506158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "285 SILLS RD",
"address_2": "BLDG. 14",
"city": "EAST PATCHOGUE",
"state": "NY",
"postal_code": "117724869",
"telephone_number": "631-447-8300",
"fax_number": "631-447-8872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "285 SILLS RD",
"address_2": "BLDG. 14",
"city": "EAST PATCHOGUE",
"state": "NY",
"postal_code": "117724869",
"telephone_number": "631-447-8300",
"fax_number": "631-447-8872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERDINAND",
"first_name": "KAREN",
"middle_name": "S",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-23",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CT",
"license": "002595",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "F303346-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "025950",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "400002595CT02",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Patchogue, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.