Individual provider Active NPI

Sweety John, FNP

  • Family Nurse Practitioner
  • West Haverstraw, NY
National Provider Identifier
1467809103
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
340597 Issued in NY
Practice address
51-55 Route 9W
West Haverstraw, NY 10993-1099
Phone
(458) 786-4829
NPI assigned
May 23, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 340597 NY Primary

Addresses

Primary practice location

51-55 Route 9W
West Haverstraw, NY 10993-1099

Mailing address

51-55 Route 9W
West Haverstraw, NY 10993-2528
Phone (845) 786-4829

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
I20181119001572 NY Practitioner - Nurse Practitioner 3678827292 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians
State of New York Comptrollers OfficeGroup PAC ID 0840101770, 171 clinicians

Practice addresses (Care Compare)

111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255

Route 9W
West Haverstraw, NY 10993-1195
Phone (845) 786-4097

Hospital & facility affiliations

  • Nyack Hospital Hospital, Nyack, NY, CCN 330104
  • Good Samaritan Hospital of Suffern Hospital, Suffern, NY, CCN 330158

Merit-based Incentive Payment System (MIPS)

Final score
86.46 of 100Reported as group
Quality
73.89
Promoting interoperability
89
Improvement activities
40
Cost
75.72

National Provider Directory

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

Practice roles (6 of 10)

OrganizationSpecialtyStatusNew patients
State of New York Comptrollers Office Current Accepting new patients
Montefiore Medical Center Current Accepting new patients
Montefiore Medical Center CurrentSince Aug 4, 2025 Accepting new patients
Montefiore Medical Center CurrentSince Aug 4, 2025 Accepting new patients
State of New York Comptrollers Office CurrentSince Sep 26, 2018 Accepting new patients
State of New York CurrentSince Sep 26, 2018 Accepting new patients

Locations

3316 Rochambeau Ave
Bronx, NY 10467
Phone (718) 920-5400

111 E 210th St
Bronx, NY 10467

3316 Rochambeau Ave
Fl 1
Bronx, NY 10467

Networks

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

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1463961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1467809103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51-55 ROUTE 9W",
            "city": "WEST HAVERSTRAW",
            "state": "NY",
            "postal_code": "109932528",
            "telephone_number": "845-786-4829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51-55 ROUTE 9W",
            "city": "WEST HAVERSTRAW",
            "state": "NY",
            "postal_code": "109931099",
            "telephone_number": "458-786-4829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHN",
        "first_name": "SWEETY",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-23",
        "last_updated": "2021-10-05",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "340597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Haverstraw, NY

Sources for this page

Verify at the official NPI Registry.