Individual provider Active NPI

Eugene Matthew Daniel Arena, NP

  • Family Nurse Practitioner
  • Port Jefferson, NY
National Provider Identifier
1356997308
Registry record updated Mar 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
354094 Issued in NY
Practice address
635 Belle Terre Rd
Port Jefferson, NY 11777-1935
Phone
(631) 320-7503
NPI assigned
Aug 15, 2019
Last updated
Mar 24, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 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 354094 NY Primary

Addresses

Primary practice location

635 Belle Terre Rd
Port Jefferson, NY 11777-1935

Mailing address

635 Belle Terre Rd
Port Jefferson, NY 11777-1935
Phone (631) 320-7503

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL earena@northwell.edu Direct Northwell Health

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
I20191030002010 NY Practitioner - Nurse Practitioner 6204168925 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care of New York PLLCGroup PAC ID 2466816525, 11 clinicians
Excel Urgent Care of Wantagh PLLCGroup PAC ID 9234364027, 40 clinicians
Excel Urgent Care of Nesconset PLLCGroup PAC ID 5092985986, 17 clinicians
Excel Urgent Care of East Northport PLLCGroup PAC ID 5294909826, 19 clinicians

Practice addresses (Care Compare)

2112 Middle Country Rd
Centereach, NY 11720-3519
Phone (631) 301-3010

3430 Sunrise Hwy
Wantagh, NY 11793-4069
Phone (516) 900-1600

465 Smithtown Blvd
Nesconset, NY 11767-2421
Phone (631) 676-6700

558 Larkfield Rd
East Northport, NY 11731-4204
Phone (631) 486-7459

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
354094NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Oct 8, 2019 Accepting new patients
John T. Mather Memorial Hospital CurrentSince Apr 7, 2021 Accepting new patients
Excel Urgent Care of Wantagh PLLC CurrentSince Aug 1, 2024 Accepting new patients
John T. Mather Memorial Hospital Current Accepting new patients
John T. Mather Memorial Hospital CurrentSince Apr 7, 2021 Accepting new patients
True North Medical Group PC CurrentSince Feb 22, 2022 Accepting new patients
True North Medical Group PC CurrentSince Feb 22, 2022 Accepting new patients
Excel Urgent Care of Nesconset, PLLC CurrentSince Aug 1, 2024 Accepting new patients
Excel Urgent Care of East Northport, PLLC CurrentSince Aug 1, 2024 Accepting new patients
Excel Urgent Care of NHP PLLC CurrentSince Aug 1, 2024 Accepting new patients
Urgent Care of New York PLLC CurrentSince Sep 1, 2024 Accepting new patients
Chenango Memorial Hospital, Inc. PastSince Aug 1, 2024 Accepting new patients
True North Medical Group PC Past Accepting new patients

Locations

3480 Veterans Memorial Hwy
Bohemia, NY 11716
Phone (631) 289-0338

2112 Middle Country Rd
Centereach, NY 11720
Phone (631) 247-7463

558 Larkfield Rd
East Northport, NY 11731
Phone (631) 446-7459

300 Community Dr
Manhasset, NY 11030

4954 Merrick Rd
Massapequa Park, NY 11762
Phone (516) 308-7255

465 Smithtown Blvd
Nesconset, NY 11767
Phone (631) 676-6700

900 Hillside Ave
New Hyde Park, NY 11040
Phone (516) 519-8400

484 Temple Hill Rd
Ste 103
New Windsor, NY 12553

484 Temple Hill Rd
Ste 104
New Windsor, NY 12553
Phone (732) 896-4444

635 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (516) 331-7700

635 Belle Terre Rd
Ste 204
Prt Jefferson, NY 11777
Phone (631) 474-0008

75 N Country Rd
Prt Jefferson, NY 11777
Phone (631) 463-1320

36 Lincoln Ave
Fl 3
Rockville Ctr, NY 11570

686 County Road 39A
Southampton, NY 11968
Phone (631) 283-0355

3430 Sunrise Hwy
Wantagh, NY 11793
Phone (516) 900-1600

Networks

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

Interoperability endpoints

  • Direct secure messaging: eugene.arena.1@24989.direct.athenahealth.com
  • Direct secure messaging: urgentcareofny.eugenearena@156424.advancedmd-direct.com

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1356997308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 BELLE TERRE RD",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117771935",
            "telephone_number": "631-320-7503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 BELLE TERRE RD",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117771935",
            "telephone_number": "631-320-7503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARENA",
        "first_name": "EUGENE MATTHEW",
        "middle_name": "DANIEL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-15",
        "last_updated": "2022-03-24",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "354094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "earena@northwell.edu",
            "affiliation": "Y",
            "endpointDescription": "Work email",
            "affiliationName": "Northwell Health",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "300 Community Dr",
            "city": "Manhasset",
            "state": "NY",
            "country_code": "US",
            "postal_code": "110303816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Port Jefferson, NY

Sources for this page

Verify at the official NPI Registry.