Active NPI
Kristen Monteiro, RN
- Family Nurse Practitioner
- Centereach, NY
National Provider Identifier
1477096956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F357400
- Practice address
- 1344 Middle Country Rd
Centereach, NY 11720-3583 - Phone
- (631) 268-3010
- NPI assigned
- Dec 1, 2016
- Last updated
- Oct 9, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F357400 | NY | Primary |
| School Registered Nurse | 163WS0200X | 654121 | NY |
Addresses
Primary practice location
1344 Middle Country Rd
Centereach, NY 11720-3583
Mailing address
1344 Middle Country Rd Ste 1
Centereach, NY 11720-3584
Phone (631) 561-7484
Other names 1
- Kristen Bucalo
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
- State University of New York at Stony Brook, School of Medicine, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
325 E Main St
Suite 120
Patchogue, NY 11772-3114
Phone (631) 654-3278
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 654121 | NY | MD | School Registered Nurse |
| F357400 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brookhaven Heart PLLC | Current | Accepting new patients | |
| William Floyd School District | Past | Accepting new patients | |
| Kumar S Mandal MD PC | Past | Accepting new patients | |
| MD 365 Medical Care PLLC | Past | Accepting new patients | |
| Suffolk Home Care LLC | Past | Accepting new patients |
Locations
325 E Main St
Ste 120
Patchogue, NY 11772
Phone (631) 654-3278
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EEFCAA
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Cardiovascular Disease Physician
- Patchogue, NY
- NPI 1639260607
-
- Family Medicine Physician
- Shirley, NY
- NPI 1497924476
-
- Family Medicine Physician
- Shirley, NY
- NPI 1841531142
-
- Home Health Agency
- Shirley, NY
- NPI 1952943854
-
- Local Education Agency (LEA)
- Mastic Beach, NY
- NPI 1447304266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759968000000",
"number": "1477096956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1344 MIDDLE COUNTRY RD STE 1",
"city": "CENTEREACH",
"state": "NY",
"postal_code": "117203584",
"telephone_number": "631-561-7484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1344 MIDDLE COUNTRY RD",
"city": "CENTEREACH",
"state": "NY",
"postal_code": "117203583",
"telephone_number": "631-268-3010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTEIRO",
"first_name": "KRISTEN",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-01",
"last_updated": "2025-10-09",
"certification_date": "2025-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F357400",
"primary": true
},
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "NY",
"license": "654121",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTEN",
"last_name": "BUCALO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Centereach, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; 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.