Individual provider Active NPI

Catherine L Ferrara, DO

  • Family Medicine Physician
  • Massapequa, NY
National Provider Identifier
1386750206
Registry record updated Jun 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
214635 Issued in NY
Practice address
20 Unqua Rd
Massapequa, NY 11758-6727
Phone
(516) 641-8654
Fax
(631) 789-8505
NPI assigned
Aug 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 214635 NY Primary

Addresses

Primary practice location

20 Unqua Rd
Massapequa, NY 11758-6727

Mailing address

230 Hilton Ave
Hempstead, NY 11550
Phone (516) 641-8654

Other identifiers 1

IdentifierTypeStateIssuer
01982181MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180717004157 NC Practitioner - Family Practice 7315957339 Reassigns benefits to 1 organization
I20181022000526 SC Practitioner - Family Practice 7315957339 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Private Physician Group LLCGroup PAC ID 9335530948, 2 clinicians
The Weston Group IncGroup PAC ID 8123936796, shared by 8 NPIs, 215 clinicians

Practice addresses (Care Compare)

Indian Trail, NC 28079
Phone (516) 590-4475

7745 Little Ave
Charlotte, NC 28226-8168
Phone (704) 541-9333

Hospital & facility affiliations

  • Suncrest Home Health Home health agency, Charlotte, NC, CCN 347098
  • Bayada Home Health Care, Inc Home health agency, Charlotte, NC, CCN 347087
  • Centerwell Home Health Home health agency, Charlotte, NC, CCN 347091
  • PHC Home Health Home health agency, Charlotte, NC, CCN 347244
  • Brookdale Carriage Club Providence Nursing home, Charlotte, NC, CCN 345482

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Private Physician Group LLC Family Medicine CurrentSince Oct 1, 2021 Accepting new patients
Island Family Medicine PC Family Medicine Past Accepting new patients

Locations

4514 Old Monroe Rd
#E
Indian Trail, NC 28079
Phone (516) 590-4475

Interoperability endpoints

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

Organizations & group practices 2

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308182400000",
    "number": "1386750206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 HILTON AVE",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "11550",
            "telephone_number": "516-641-8654",
            "fax_number": "631-789-8505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 UNQUA RD",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117586727",
            "telephone_number": "516-641-8654",
            "fax_number": "631-789-8505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRARA",
        "first_name": "CATHERINE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2011-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "214635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01982181",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Massapequa, NY

Sources for this page

Verify at the official NPI Registry.