Individual provider Active NPI

Radhaben Naik-Ackermann, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Staten Island, NY
National Provider Identifier
1518758903
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F406720-01 Issued in NY
Practice address
40 Burton CT
Staten Island, NY 10306-1302
Phone
(917) 573-0897
NPI assigned
May 14, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F406720-01 NY Primary

Addresses

Primary practice location

40 Burton CT
Staten Island, NY 10306-1302

Mailing address

40 Burton CT
Staten Island, NY 10306-1302
Phone (917) 573-0897

Other names 1

  • Ms. Radhaben Naik Former 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
I20250827004028 NY Practitioner - Nurse Practitioner 7517468077 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1208 King St
Suite 500
Chattanooga, TN 37403-4352

26 Court St
Brooklyn, NY 11242-0310

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F406720-01NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wonder Years Psychiatric Services of New Jersey PC CurrentSince Jul 7, 2025 Accepting new patients
Wonder Years Psychiatric Services PLLC CurrentSince Jul 7, 2025 Accepting new patients

Locations

26 Court St
Ste 816
Brooklyn, NY 11242
Phone (347) 987-4233

200 Garden City Plz
Ste 402
Garden City, NY 11530
Phone (516) 588-1700

Organizations & group practices 2

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": "1747180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1518758903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 BURTON CT",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103061302",
            "telephone_number": "917-573-0897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 BURTON CT",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103061302",
            "telephone_number": "917-573-0897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAIK-ACKERMANN",
        "first_name": "RADHABEN",
        "name_prefix": "Ms.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-14",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F406720-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RADHABEN",
            "last_name": "NAIK",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.