Individual provider Active NPI

Cristina Delmonico, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Coram, NY
National Provider Identifier
1437577525
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
404291 Issued in NY
Practice address
39 Chauncey LN
Coram, NY 11727-3504
Phone
(631) 356-5686
NPI assigned
Apr 4, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 683287-1 NY
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 404291 NY Primary

Addresses

Primary practice location

39 Chauncey LN
Coram, NY 11727-3504

Mailing address

240 Oakland Ave
Central Islip, NY 11722-2109
Phone (631) 334-6082

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
I20221122000120 NY Practitioner - Nurse Practitioner 8820466931 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
683287-1NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Cristina Delmonico NP in Psychiatry P.C. Single Specialty Current Accepting new patients
North Shore-Lij Medical PC Single Specialty CurrentSince Oct 11, 2022 Accepting new patients
Long Island Select Healthcare, Inc. Single Specialty CurrentSince Aug 1, 2022 Accepting new patients
North Shore - Lij Medical PC CurrentSince Oct 11, 2022 Accepting new patients

Locations

301 Montauk Hwy
Bay Shore, NY 11706
Phone (631) 630-3977

159 Carleton Ave
Central Islip, NY 11722
Phone (631) 439-4300

300 Community Dr
Plandome, NY 11030

883 E Main St
Riverhead, NY 11901
Phone (631) 284-5500

972 Brush Hollow Rd
Westbury, NY 11590

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CCJFAD

Organizations & group practices 4

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": "1396569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1437577525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 OAKLAND AVE",
            "city": "CENTRAL ISLIP",
            "state": "NY",
            "postal_code": "117222109",
            "telephone_number": "631-334-6082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 CHAUNCEY LN",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "117273504",
            "telephone_number": "631-356-5686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELMONICO",
        "first_name": "CRISTINA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-04",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "683287-1",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "404291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coram, NY

Sources for this page

Verify at the official NPI Registry.