Maria Kasdan Nurse Practitioner of Pediatrics PLLC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

Legal business name

MARIA KASDAN NURSE PRACTITIONER OF PEDIATRICS PLLC

Practice address

168 N Ocean Ave
Patchogue, NY 11772-2004

Phone

(631) 512-9260

Fax

(631) 588-8901

NPI assigned

Mar 14, 2019

Organization subpart

No

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

Authorized official

Name

Maria Anne Kasdan, NPNPI 1619156940

Title

Owner/Practitioner

Phone

(631) 838-4300

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maria Anne Kasdan, NURSE PRACTITIONER

  • Pediatric Nurse Practitioner
  • Plainview, NY
  • NPI 1619156940

  Pediatrics

  NPD Authorized official
• Jennifer Lynn Kelsch, LCSW-R

  • Clinical Social Worker
  • Patchogue, NY
  • NPI 1346530680
  NPD (past)
• Leah Topek-Walker, LCSW-R

  • Clinical Social Worker
  • Patchogue, NY
  • NPI 1922184662
  NPD (past)

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

{
    "created_epoch": "1552521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552521600000",
    "number": "1386103802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 GLENMERE LN",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "117271428",
            "telephone_number": "631-838-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 N OCEAN AVE",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722004",
            "telephone_number": "631-512-9260",
            "fax_number": "631-588-8901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA KASDAN NURSE PRACTITIONER OF PEDIATRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-14",
        "last_updated": "2019-03-14",
        "status": "A",
        "authorized_official_last_name": "KASDAN",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER/PRACTITIONER",
        "authorized_official_telephone_number": "631-838-4300",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pedsnurse911@outlook.com.nextgen",
            "affiliation": "N",
            "endpointDescription": "EMR company",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "168 N Ocean Ave",
            "city": "Patchogue",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117722004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sarina Isaella Mannino
• Kristine Jeanne Mansfield, AU.D.
• Georgie Anne Mantovani, MSW
• Andrew Mapley, D.O.
• Rachel Ashley Margalit
• Anthony Marinelli, OD
• Clara Markovits, M.D.
• Richard Marotto Jr., DPM
• Maria Martinelli, LMT
• Alexandra Martino

• Pediatric Nurse Practitioner in Patchogue, NY
• Providers in Patchogue, NY by specialty
• Pediatric Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.