Individual provider Active NPI

Luis Cajina

  • Psychiatric/Mental Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1437636883
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F405161-01 Issued in NY
Practice address
15 2ND Ave FL 3
Brooklyn, NY 11215-2711
Phone
(718) 514-6007
NPI assigned
Jul 27, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9190560 FL
Registered Nurse 163W00000X 805865 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F405161-01 NY Primary

Addresses

Primary practice location

15 2ND Ave FL 3
Brooklyn, NY 11215-2711

Mailing address

15 2ND Ave FL 3
Brooklyn, NY 11215-2711
Phone (718) 514-6007

Other practice location 1

113 E 60th St
New York, NY 10022-1939
Phone (917) 456-9288

Other practice location 2

286 5th Ave Ste 7E
New York, NY 10001-4512
Phone (386) 965-0053

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
I20250305000806 NY Practitioner - Nurse Practitioner 2062933229 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
New York University School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Revcore Recovery Center of Manhattan LLCGroup PAC ID 7517344278, 8 clinicians

Practice addresses (Care Compare)

15 2ND Ave
FL 3
Brooklyn, NY 11215-2711
Phone (917) 406-8744

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN9190560FLMDRegistered Nurse
805865NYMDRegistered Nurse
F405161-01NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Star NP in Psychiatry Psychiatric/Mental Health Current Accepting new patients
Revcore Recovery Center of Manhattan, LLC CurrentSince Dec 22, 2024 Accepting new patients

Locations

15 2nd Ave
Fl 3
Brooklyn, NY 11215
Phone (718) 514-6007

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": "1532649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1437636883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 2ND AVE FL 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112152711",
            "telephone_number": "718-514-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 2ND AVE FL 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112152711",
            "telephone_number": "718-514-6007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "113 E 60th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100221939",
            "country_code": "US",
            "telephone_number": "917-456-9288",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "286 5th Ave Ste 7E",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100014512",
            "country_code": "US",
            "telephone_number": "386-965-0053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAJINA",
        "first_name": "LUIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-27",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9190560",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "805865",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F405161-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.