Individual provider Active NPI

Kaila Disciglio, FNP

  • Family Medicine Physician
  • Newburgh, NY
National Provider Identifier
1417219387
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
354420 Issued in NY
Practice address
19 Shady LN
Newburgh, NY 12550-2635
Phone
(845) 492-9149
NPI assigned
Jun 15, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

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 354420 NY Primary

Addresses

Primary practice location

19 Shady LN
Newburgh, NY 12550-2635

Mailing address

19 Shady LN
Newburgh, NY 12550-2635
Phone (845) 492-9149

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
I20250409003488 NY Practitioner - Nurse Practitioner 4385168517 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
RB Heart and Vascular Care PLLCGroup PAC ID 9335501634, 19 clinicians

Practice addresses (Care Compare)

4 HDSN Vly Prof PLZ
Newburgh, NY 12550-3157
Phone (781) 530-0070

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
354420NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
RB Heart and Vascular Care PLLC CurrentSince Feb 1, 2025 Accepting new patients
Center for Spectrum Services Past Accepting new patients

Locations

528 E Main St
Middletown, NY 10940

4 Hdsn Vly Prof Plz
Newburgh, NY 12550
Phone (845) 561-3666

156 Pike St
Port Jervis, NY 12771
Phone (845) 794-7741

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.

NPI Registry JSON

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

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1417219387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 SHADY LN",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125502635",
            "telephone_number": "845-492-9149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 SHADY LN",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125502635",
            "telephone_number": "845-492-9149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISCIGLIO",
        "first_name": "KAILA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-15",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "354420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, NY

Sources for this page

Verify at the official NPI Registry.