Individual provider Active NPI

Karen D Middel -Jones, NP

  • Adult Health Nurse Practitioner
  • Oakdale, NY
National Provider Identifier
1396293122
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
307366 Issued in NY
Practice address
27 Chateau Dr
Oakdale, NY 11769-1105
Phone
(631) 926-1691
NPI assigned
Sep 21, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 307366 NY Primary

Addresses

Primary practice location

27 Chateau Dr
Oakdale, NY 11769-1105

Mailing address

27 Chateau Dr
Oakdale, NY 11769-1105
Phone (631) 926-1691

Other practice location 1

210 N Belle Mead Rd
East Setauket, NY 11733-3522
Phone (631) 689-1400

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
I20181008001154 NY Practitioner - Nurse Practitioner 1759633423 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor View Medical Services PC CurrentSince Feb 1, 2022 Accepting new patients
Harbor View Medical Services PC CurrentSince Feb 1, 2022 Accepting new patients
Harbor View Medical Services PC Current Accepting new patients

Locations

210 N Belle Mead Rd
East Setauket, NY 11733
Phone (631) 689-1400

100 Highlands Blvd
#9
Port Jefferson, NY 11777
Phone (631) 686-7809

Interoperability endpoints

  • Direct secure messaging: kmiddeljones617135@nyumc.direct-ci.com

Organizations & group practices 3

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": "1474416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1396293122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 CHATEAU DR",
            "city": "OAKDALE",
            "state": "NY",
            "postal_code": "117691105",
            "telephone_number": "631-926-1691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 CHATEAU DR",
            "city": "OAKDALE",
            "state": "NY",
            "postal_code": "117691105",
            "telephone_number": "631-926-1691"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 N Belle Mead Rd",
            "address_purpose": "LOCATION",
            "city": "East Setauket",
            "state": "NY",
            "postal_code": "117333522",
            "country_code": "US",
            "telephone_number": "631-689-1400",
            "fax_number": "631-689-8916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIDDEL -JONES",
        "first_name": "KAREN",
        "middle_name": "D",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-21",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "307366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakdale, NY

Sources for this page

Verify at the official NPI Registry.