Individual provider Active NPI

Carly Rae Kaminsky, FNP- BC

  • Family Nurse Practitioner
  • Yonkers, NY
National Provider Identifier
1497381172
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
345159 Issued in NY
Practice address
73 Market St
Yonkers, NY 10710-7616
Phone
(914) 831-4150
Fax
(914) 848-8051
NPI assigned
Mar 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 704097 NY
Family Nurse Practitioner 363LF0000X 345159 NY Primary

Addresses

Primary practice location

73 Market St
Yonkers, NY 10710-7616

Mailing address

1345 Avenue of the Americas FL 8
New York, NY 10105-0018
Phone (908) 588-3635

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
I20200817000612 NY Practitioner - Nurse Practitioner 5991121386 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Westchester Medical Group, P.CGroup PAC ID 6406752963, 410 clinicians

Practice addresses (Care Compare)

73 Market St
Yonkers, NY 10710-7602
Phone (914) 682-0700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
704097NYMDRegistered Nurse
345159NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Weill Medical College of Cornell CurrentSince Jun 1, 2020 Accepting new patients
Weill Medical College of Cornell CurrentSince Jun 1, 2020 Accepting new patients
Westchester Medical Group, P.C. CurrentSince Jul 1, 2024 Accepting new patients
The Westchester Medical Group PC CurrentSince Jul 1, 2024 Accepting new patients

Locations

171 Huguenot St
New Rochelle, NY 10801
Phone (914) 607-5820

1345 Avenue of the Americas
Fl 8
New York, NY 10105
Phone (212) 913-0828

1305 York Ave
#5
New York, NY 10021
Phone (212) 746-2281

428 E 72nd St
Ofc 100
New York, NY 10021
Phone (212) 746-3576

3030 Westchester Ave
Purchase, NY 10577
Phone (914) 682-6435

210 Westchester Ave
White Plains, NY 10604
Phone (914) 681-3100

73 Market St
Yonkers, NY 10710
Phone (914) 848-8030

Networks

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

Interoperability endpoints

  • Direct secure messaging: carly.kaminsky.1@21260.direct.athenahealth.com

Organizations & group practices 4

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": "1584057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1497381172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 AVENUE OF THE AMERICAS FL 8",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101050018",
            "telephone_number": "908-588-3635",
            "fax_number": "908-934-9350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 MARKET ST",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107107616",
            "telephone_number": "914-831-4150",
            "fax_number": "914-848-8051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMINSKY",
        "first_name": "CARLY",
        "middle_name": "RAE",
        "credential": "FNP- BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-13",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "704097",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "345159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

Verify at the official NPI Registry.