Individual provider Active NPI

Mitra Camarda, NP

  • Family Nurse Practitioner
  • Bay Shore, NY
National Provider Identifier
1275304131
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11030292 Issued in FL
Practice address
32 W Main St
Bay Shore, NY 11706-8308
Phone
(631) 949-4512
NPI assigned
Jan 10, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11030292 FL Primary

Addresses

Primary practice location

32 W Main St
Bay Shore, NY 11706-8308

Mailing address

32 W Main St
Bay Shore, NY 11706-8308
Phone (631) 949-4512

Other names 1

  • Mitra Toughanian Former name

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
I20241016003235 NY Practitioner - Nurse Practitioner 3577095447 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11030292FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Quest Medical Care PC CurrentSince Aug 12, 2024 Accepting new patients

Locations

8 Maple Ave
Bay Shore, NY 11706
Phone (631) 665-4390

Networks

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

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": "1704844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1275304131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 W MAIN ST",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068308",
            "telephone_number": "631-949-4512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 W MAIN ST",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068308",
            "telephone_number": "631-949-4512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMARDA",
        "first_name": "MITRA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-10",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11030292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MITRA",
            "last_name": "TOUGHANIAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bay Shore, NY

Sources for this page

Verify at the official NPI Registry.