Individual provider Active NPI

Kristen Beth Esposito, NP

  • Interventional Pain Medicine Physician
  • Medford, NY
National Provider Identifier
1508602681
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
311829 Issued in NY
Practice address
1731 N Ocean Ave
Medford, NY 11763-2670
Phone
(631) 474-2300
NPI assigned
Jul 8, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 311829 NY Primary

Addresses

Primary practice location

1731 N Ocean Ave
Medford, NY 11763-2670

Mailing address

51 Gaymore Rd
Port Jefferson Station, NY 11776-1354
Phone (631) 626-4109

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
I20240827000335 NY Practitioner - Nurse Practitioner 7416496146 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Management of Long Island, P.C, CurrentSince Nov 9, 2024 Accepting new patients

Locations

1731 N Ocean Ave
Ste A
Medford, NY 11763
Phone (631) 474-2300

1731 N Ocean Ave
Medford, NY 11763
Phone (212) 355-2200

75 N Country Rd
Prt Jefferson, NY 11777
Phone (631) 463-1320

Interoperability endpoints

  • Direct secure messaging: kristen.esposito@1691.securemail.prognocis.com

Organizations & group practices 1

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": "1720396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1508602681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 GAYMORE RD",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117761354",
            "telephone_number": "631-626-4109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1731 N OCEAN AVE",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117632670",
            "telephone_number": "631-474-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPOSITO",
        "first_name": "KRISTEN",
        "middle_name": "BETH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-08",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NY",
            "license": "311829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, NY

Sources for this page

Verify at the official NPI Registry.