Individual provider Active NPI

Regina Cardaci, RN, CNM, NP

  • Women's Health Nurse Practitioner
  • Whitestone, NY
National Provider Identifier
1407105810
Registry record updated May 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
F360461-1 Issued in NY
Practice address
162-41 Powells Cove Blvd
4L
Whitestone, NY 11357-1543
Phone
(718) 640-5674
NPI assigned
Aug 30, 2012
Last updated
May 12, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X F360461-1 NY Primary
Advanced Practice Midwife 367A00000X F000449-1 NY
Registered Nurse 163W00000X 361038-1 NY

Addresses

Primary practice location

162-41 Powells Cove Blvd
4L
Whitestone, NY 11357-1543

Mailing address

162-41 Powells Cove Blvd
4L
Whitestone, NY 11357-1543
Phone (718) 640-5674

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
I20170609001914 NY Practitioner - Nurse Practitioner 6800164146 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
361038-1NYMDRegistered Nurse
F360461-1NYMDWomen's Health Nurse Practitioner
F000449-1NYMDAdvanced Practice Midwife

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1346284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494547200000",
    "number": "1407105810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162-41 POWELLS COVE BLVD",
            "address_2": "4L",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113571543",
            "telephone_number": "718-640-5674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162-41 POWELLS COVE BLVD",
            "address_2": "4L",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113571543",
            "telephone_number": "718-640-5674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDACI",
        "first_name": "REGINA",
        "name_prefix": "Prof.",
        "credential": "RN, CNM, NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-30",
        "last_updated": "2017-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "F360461-1",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NY",
            "license": "F000449-1",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "361038-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitestone, NY

Sources for this page

Verify at the official NPI Registry.