Active NPI
Karen D Middel -Jones, NP
- Adult Health Nurse Practitioner
- Oakdale, NY
National Provider Identifier
1396293122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 307366
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harbor View Medical Services PC | Current | Accepting new patients | |
| Harbor View Medical Services PC | Current | 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
- 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.
-
- Pulmonary Disease Physician
- Port Jefferson, NY
- NPI 1861636219
-
- Internal Medicine Physician
- Port Jefferson, NY
- NPI 1306631742
-
- Cardiovascular Disease Physician
- East Setauket, NY
- NPI 1922364181
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.