Individual provider Active NPI

Carinne Nicole Cardona, FNP

  • Family Nurse Practitioner
  • Ronkonkoma, NY
National Provider Identifier
1306554027
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
349903 Issued in NY
Practice address
650 Hawkins Ave Ste 7
Ronkonkoma, NY 11779-2366
Phone
(631) 737-0055
Fax
(631) 737-0076
NPI assigned
Nov 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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 349903 NY Primary

Addresses

Primary practice location

650 Hawkins Ave Ste 7
Ronkonkoma, NY 11779-2366

Mailing address

90 Lake Shore Dr
Ronkonkoma, NY 11779-3156
Phone (917) 715-5818

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
I20221228000244 NY Practitioner - Nurse Practitioner 4981074408 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of New York Downstate Medical Center, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Todd J Maltese DO PCGroup PAC ID 0941512750, 4 clinicians

Practice addresses (Care Compare)

650 Hawkins Ave
Suite 7
Ronkonkoma, NY 11779-2366
Phone (631) 737-0055

Merit-based Incentive Payment System (MIPS)

Final score
89.44 of 100Reported as group
Quality
86.36
Promoting interoperability
100
Improvement activities
40
Cost
73.33

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Todd J. Maltese, D.O., P.C. CurrentSince Jan 9, 2023 Accepting new patients

Locations

650 Hawkins Ave
Ste 7
Ronkonkoma, NY 11779
Phone (631) 737-0055

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JIEEAD

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": "1668038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1306554027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 LAKE SHORE DR",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117793156",
            "telephone_number": "917-715-5818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 HAWKINS AVE STE 7",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117792366",
            "telephone_number": "631-737-0055",
            "fax_number": "631-737-0076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDONA",
        "first_name": "CARINNE",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-10",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "349903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ronkonkoma, NY

Sources for this page

Verify at the official NPI Registry.