Individual provider Active NPI

Christina Nicole Chiofalo, NP

  • Family Nurse Practitioner
  • Lindenhurst, NY
National Provider Identifier
1396437802
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
349992 Issued in NY
Practice address
290 Sunrise Hwy
Lindenhurst, NY 11757-2520
Phone
(631) 226-3600
Fax
(631) 226-3607
NPI assigned
May 23, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 349992 NY Primary
Family Nurse Practitioner 363LF0000X F349992 NY

Addresses

Primary practice location

290 Sunrise Hwy
Lindenhurst, NY 11757-2520

Mailing address

290 Sunrise Hwy
Lindenhurst, NY 11757-2520
Phone (631) 226-3600

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
I20240329000944 NY Practitioner - Nurse Practitioner 9234577065 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mission Medical Care PCGroup PAC ID 2365705696, 54 clinicians

Practice addresses (Care Compare)

12 Medical Dr
Suite B
Port Jefferson Station, NY 11776-1588
Phone (212) 803-3339

165 N Village Ave
Rockville Centre, NY 11570-3701
Phone (212) 803-3339

181 Main St
Suite 210
Huntington, NY 11743-6918
Phone (212) 803-3339

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
349992NYMDFamily Nurse Practitioner
F349992NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mission Medical Care PC Family CurrentSince May 12, 2024 Accepting new patients
Fara Stricker Family Health Nurse Practitioner, P.C. PastSince May 14, 2023 Accepting new patients

Locations

233 Union Ave
Ste 105
Holbrook, NY 11741
Phone (631) 285-7311

333 E Shore Rd
Ste 201
Manhasset, NY 11030
Phone (516) 829-3044

1228 E Main St
Ste A
Riverhead, NY 11901
Phone 63169643572

165 N Village Ave
Ste 133
Rockville Ctr, NY 11570
Phone (516) 764-0879

609 Hampton Rd
Ste 9
Southampton, NY 11968

Interoperability endpoints

  • Direct secure messaging: christina.chiofalo.1@3609.direct.athenahealth.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": "1684800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1396437802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 SUNRISE HWY",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117572520",
            "telephone_number": "631-226-3600",
            "fax_number": "631-226-3607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 SUNRISE HWY",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117572520",
            "telephone_number": "631-226-3600",
            "fax_number": "631-226-3607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIOFALO",
        "first_name": "CHRISTINA",
        "middle_name": "NICOLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-23",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "349992",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F349992",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lindenhurst, NY

Sources for this page

Verify at the official NPI Registry.