Individual provider Active NPI

Katherine Palmisano, N.P.

  • Gerontology Nurse Practitioner
  • Bayside, NY
National Provider Identifier
1285786988
Registry record updated Aug 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
340388 Issued in NY
Practice address
4241 201St St
Ozanam Hall of Queens Nursing Home
Bayside, NY 11361-2550
Phone
(718) 423-2000
Fax
(718) 971-2077
NPI assigned
Jan 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 340388 NY Primary

Addresses

Primary practice location

4241 201St St
Ozanam Hall of Queens Nursing Home
Bayside, NY 11361-2550

Mailing address

4241 201St St
Ozanam Hall of Queens Nursing Home
Bayside, NY 11361-2550
Phone (718) 423-2000

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
I20100918000216 NY Practitioner - Nurse Practitioner 4082739693 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4241 201St St
Bayside, NY 11361-2550
Phone (718) 423-2000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
340388NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ozanam Hall of Queens Nursing Home, Inc CurrentSince Jun 3, 2010 Accepting new patients

Locations

4241 201st St
Flushing, NY 11361
Phone (516) 599-5688

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": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282867200000",
    "number": "1285786988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4241 201ST ST",
            "address_2": "OZANAM HALL OF QUEENS NURSING HOME",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612550",
            "telephone_number": "718-423-2000",
            "fax_number": "718-971-2077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4241 201ST ST",
            "address_2": "OZANAM HALL OF QUEENS NURSING HOME",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612550",
            "telephone_number": "718-423-2000",
            "fax_number": "718-971-2077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMISANO",
        "first_name": "KATHERINE",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2010-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NY",
            "license": "340388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

Verify at the official NPI Registry.