Individual provider Active NPI

Erin Nicole Giardino, PA-C, ATC

  • Physician Assistant
  • Great Neck, NY
National Provider Identifier
1467018531
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
024240 Issued in NY
Practice address
825 Northern Blvd Ste 201
Great Neck, NY 11021-5323
Phone
(516) 773-7500
NPI assigned
May 14, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic TrainerGroup: 193400000X SINGLE SPECIALTY GROUP 2255A2300X 67002914 NY
Physician Assistant 363A00000X 024240 NY Primary

Addresses

Primary practice location

825 Northern Blvd Ste 201
Great Neck, NY 11021-5323

Mailing address

825 Northern Blvd Ste 201
Great Neck, NY 11021-5323
Phone (516) 773-7500

Other identifiers 1

IdentifierTypeStateIssuer
67002914OtherNYATHLETIC TRAINING LICENSE

Other names 1

  • Erin Schroeder Former name

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
I20200720000420 NY Practitioner - Physician Assistant 7810311255 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

259 1St St
Mineola, NY 11501-3957
Phone (516) 222-8600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
67002914NYMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Sep 23, 2024 Accepting new patients
New York University Single Specialty CurrentSince Sep 23, 2024 Accepting new patients
Medical Services of Kips Bay PC CurrentSince Apr 1, 2021 Accepting new patients
Medical Services of Kips Bay PC Single Specialty CurrentSince Apr 1, 2021 Accepting new patients

Locations

700 Hicksville Rd
Ste 205
Bethpage, NY 11714
Phone (646) 501-3325

825 Northern Blvd
Ste 201
Great Neck, NY 11021
Phone (516) 396-7846

300 Community Dr
Plandome, NY 11030

Networks

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

Organizations & group practices 5

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1557792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1467018531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 NORTHERN BLVD STE 201",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215323",
            "telephone_number": "516-773-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 NORTHERN BLVD STE 201",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215323",
            "telephone_number": "516-773-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIARDINO",
        "first_name": "ERIN",
        "middle_name": "NICOLE",
        "credential": "PA-C, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-14",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": "67002914",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "024240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATHLETIC TRAINING LICENSE",
            "identifier": "67002914",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "SCHROEDER",
            "credential": "PA-C, ATC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Great Neck, NY

Sources for this page

Verify at the official NPI Registry.