Individual provider Active NPI

Christine Marie Verzosa, N.P.

  • Pediatric Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1174811749
Registry record updated Mar 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
F382156-1 Issued in NY
Practice address
170 Brown PL
Bronx, NY 10454-4140
Phone
(917) 485-7140
NPI assigned
Jul 18, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 580216-1 NY
Pediatric Nurse Practitioner 363LP0200X F382156-1 NY Primary

Addresses

Primary practice location

170 Brown PL
Bronx, NY 10454-4140

Mailing address

245 E 124TH St
Apt #4D
New York, NY 10035-2093
Phone (347) 385-4044

Other identifiers 1

IdentifierTypeStateIssuer
03446820MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220302000737 NY Practitioner - Nurse Practitioner 7113311457 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
580216-1NYMDRegistered Nurse
F382156-1NYMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Institute for Family Health CurrentSince Mar 2, 2022 Accepting new patients
The Institute for Family Health Current Accepting new patients
The Institute for Family Health Past Accepting new patients

Locations

731 White Plains Rd
Bronx, NY 10473
Phone (718) 589-8324

1894 Walton Ave
Bronx, NY 10453
Phone (718) 583-2508

50 E 168th St
#98
Bronx, NY 10452
Phone (718) 293-3900

1420 Ferris Pl
Bronx, NY 10461
Phone (718) 239-1610

130 W Tremont Ave
Bronx, NY 10453
Phone (718) 299-3045

6 Healthy Way
Ellenville, NY 12428
Phone (845) 647-4500

11 Crum Elbow Rd
Hyde Park, NY 12538
Phone (845) 229-1020

1 Foxhall Ave
Kingston, NY 12401
Phone (845) 338-1535

140 Pine St
Kingston, NY 12401
Phone (844) 434-2778

1 Family Practice Dr
Kingston, NY 12401
Phone (845) 338-2562

251 W 80th St
New York, NY 10024

1824 Madison Ave
New York, NY 10035
Phone (212) 423-4200

2090 Adam Clayton Powell Jr Blvd
New York, NY 10027
Phone (212) 553-6606

690 Amsterdam Ave
New York, NY 10025
Phone (212) 865-4104

601 W 114th St
New York, NY 10025
Phone (212) 280-1284

16 E 16th St
New York, NY 10003
Phone (212) 633-0800

230 W 17th St
New York, NY 10011
Phone (212) 989-8999

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1310947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393977600000",
    "number": "1174811749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 E 124TH ST",
            "address_2": "APT #4D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100352093",
            "telephone_number": "347-385-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 BROWN PL",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104544140",
            "telephone_number": "917-485-7140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERZOSA",
        "first_name": "CHRISTINE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-18",
        "last_updated": "2014-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "580216-1",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "F382156-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03446820",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.