Active NPI
Claudette Nelson
- Primary Care Nurse Practitioner
- White Plains, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- F310834-01
- Practice address
- 75 S Broadway
White Plains, NY 10601-4413 - Phone
- (914) 293-5001
- NPI assigned
- Jun 17, 2019
- Last updated
- Aug 24, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 26NJ01337000 | NJ | |
| Primary Care Nurse Practitioner | 363LP2300X | F310834-01 | NY | Primary |
Addresses
Primary practice location
75 S Broadway
White Plains, NY 10601-4413
Mailing address
181 Old Pascack Rd
Pearl River, NY 10965-1551
Phone (646) 363-0542
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
Enrollment records 1
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
Practice addresses (Care Compare)
150 Sunnyside Blvd
Plainview, NY 11803-1504
Phone (888) 982-8594
3709 Flatlands Ave
Brooklyn, NY 11234-3507
Phone (646) 535-1545
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 310834 | NY | MD | Family Medicine Physician |
| 26NJ01337000 | NJ | MD | Primary Care Nurse Practitioner |
| F310834-01 | NY | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Py Medical PLLC | Current | Accepting new patients | |
| American Telehealth, LLC | Current | Accepting new patients | |
| Mount Vernon Neighborhood Health Center Inc | Current | Accepting new patients | |
| Peyman Younesi MD PLLC | Current | Accepting new patients | |
| Mount Vernon Neighborhood Health Center, Inc. | Current | Accepting new patients | |
| Kings County House Calls NP in Family Health PLLC | Current | Accepting new patients |
Locations
2720 Surf Ave
Brooklyn, NY 11224
Phone (718) 230-4844
2830 Pitkin Ave
Brooklyn, NY 11208
Phone (347) 420-8295
3709 Flatlands Ave
Brooklyn, NY 11234
Phone (646) 535-1545
8008 45th Ave
Flushing, NY 11373
Phone (718) 373-0777
9131 175th St
Jamaica, NY 11432
Phone (340) 709-3133
200 Broadhollow Rd
Ste 207
Melville, NY 11747
Phone (516) 906-4970
10 Claremont Ave
Mount Vernon, NY 10550
Phone (718) 459-0700
107 W 4th St
Mount Vernon, NY 10550
Phone (914) 699-0235
130 Lake Ave S
Nesconset, NY 11767
Phone (631) 636-0620
822 Cedar Ave
Niagara Falls, NY 14301
Phone (716) 272-1207
150 Sunnyside Blvd
Plainview, NY 11803
Phone (516) 576-3330
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71482
Organizations & group practices 6
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.
-
- General Practice Physician
- Brooklyn, NY
- NPI 1962976274
-
dba CCS Healthcare
- General Practice Physician
- Mount Laurel, NJ
- NPI 1245600022
NY
-
dba Mount Vernon Physician Group
- Specialist
- Mount Vernon, NY
- NPI 1295912541
-
- Internal Medicine Physician
- Fresh Meadows, NY
- NPI 1891053328
-
- Pain Medicine Physician
- Bronx, NY
- NPI 1043081524
-
dba Westchester Community Health Center Yonkers
- Federally Qualified Health Center (FQHC)
- Yonkers, NY
- NPI 1952550055
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Brooklyn, NY
- NPI 1770513145
-
- Home Health Agency
- Bronx, NY
- NPI 1154025237
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661299200000",
"number": "1457911059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "181 OLD PASCACK RD",
"city": "PEARL RIVER",
"state": "NY",
"postal_code": "109651551",
"telephone_number": "646-363-0542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 S BROADWAY",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106014413",
"telephone_number": "914-293-5001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "CLAUDETTE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-17",
"last_updated": "2022-08-24",
"certification_date": "2022-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "NJ",
"license": "26NJ01337000",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "NY",
"license": "F310834-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in White Plains, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.