Individual provider Active NPI

Michelle Daniel, FNP

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1487092151
Registry record updated Mar 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F341075 Issued in NY
Practice address
6010 Bay Pkwy Ste 901
Brooklyn, NY 11204-6081
Phone
(718) 238-2100
Fax
(718) 748-0863
NPI assigned
Jun 4, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F341075 NY Primary
Registered Nurse 163W00000X 377557-1 NY

Addresses

Primary practice location

6010 Bay Pkwy Ste 901
Brooklyn, NY 11204-6081

Mailing address

3198 Grand Concourse
Bronx, NY 10458-1000
Phone (718) 618-0401

Other practice location 1

104 Shoreview Dr Apt 2
Yonkers, NY 10710-1345
Phone (813) 731-7569

Other practice location 2

104 Shoreview Dr Apt 2
Yonkers, NY 10710-1345
Phone (813) 731-7569

Other practice location 3

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 299-7295

Other identifiers 1

IdentifierTypeStateIssuer
03588474MedicaidNY

Other names 1

  • Michelle Mathe Daniel Professional 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
I20190529002702 NY Practitioner - Nurse Practitioner 2961745286 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
377557-1NYMDRegistered Nurse
341075NYMDLicensed Practical Nurse
F341075NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Essen Medical Associates, PC CurrentSince Apr 15, 2019 Accepting new patients
Essen Medical Associates, PC CurrentSince Apr 15, 2019 Accepting new patients
Doctors United, Inc CurrentSince Apr 28, 2022 Accepting new patients
Bronx Medical Practice P.C. CurrentSince Apr 15, 2019 Accepting new patients
House Call Medical Services of New York, PLLC CurrentSince Jul 24, 2019 Accepting new patients

Locations

2015 Grand Concourse
#13202
Bronx, NY 10453

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

907 E Tremont Ave
Bronx, NY 10460
Phone (718) 589-9588

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

176 Grand St
White Plains, NY 10601
Phone (914) 328-6080

174 Grand St
White Plains, NY 10601
Phone (718) 220-8293

340 S Broadway
Yonkers, NY 10705
Phone (914) 968-5125

Networks

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1487092151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3198 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104581000",
            "telephone_number": "718-618-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6010 BAY PKWY STE 901",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112046081",
            "telephone_number": "718-238-2100",
            "fax_number": "718-748-0863"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 Shoreview Dr Apt 2",
            "address_purpose": "LOCATION",
            "city": "Yonkers",
            "state": "NY",
            "postal_code": "107101345",
            "country_code": "US",
            "telephone_number": "813-731-7569",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "104 Shoreview Dr Apt 2",
            "address_purpose": "LOCATION",
            "city": "Yonkers",
            "state": "NY",
            "postal_code": "107101345",
            "country_code": "US",
            "telephone_number": "813-731-7569",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2015 Grand Concourse",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "10453",
            "country_code": "US",
            "telephone_number": "718-299-7295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-04",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F341075",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "377557-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03588474",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "DANIEL",
            "middle_name": "MATHE",
            "credential": "FNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.