Individual provider Active NPI

Kristine Jaye Adalla-Angeles, FNP

  • Family Nurse Practitioner
  • Garden City, NY
National Provider Identifier
1326593864
Registry record updated Apr 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
349366 Issued in NY
Practice address
229 7TH St Ste 105
Garden City, NY 11530-5766
Phone
(516) 747-7778
NPI assigned
Aug 24, 2016
Last updated
Apr 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2022

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 627159 NY
Family Nurse Practitioner 363LF0000X 349366 NY Primary

Addresses

Primary practice location

229 7TH St Ste 105
Garden City, NY 11530-5766

Mailing address

229 7TH St Ste 105
Garden City, NY 11530-5766
Phone (516) 747-7778

Other names 1

  • Kristine Jaye Yuzon Adalla 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
I20220622000523 NY Practitioner - Nurse Practitioner 0143609115

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
627159NYMDRegistered Nurse
349366NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Schweiger Dermatology PLLC CurrentSince May 1, 2022 Accepting new patients

Locations

385 Merrick Rd
Amityville, NY 11701

229 7th St
Ste 105
Garden City, NY 11530
Phone (516) 741-1055

2701 Queens Plz N
Fl 10
Long Island City, NY 11101
Phone (203) 996-6379

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.

NPI Registry JSON

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

{
    "created_epoch": "1471996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648771200000",
    "number": "1326593864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 7TH ST STE 105",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305766",
            "telephone_number": "516-747-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 7TH ST STE 105",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305766",
            "telephone_number": "516-747-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADALLA-ANGELES",
        "first_name": "KRISTINE JAYE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-24",
        "last_updated": "2022-04-01",
        "certification_date": "2022-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "627159",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "349366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINE JAYE",
            "last_name": "ADALLA",
            "middle_name": "YUZON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Garden City, NY

Sources for this page

Verify at the official NPI Registry.