Individual provider Active NPI

Danielle Donohue, NP

  • Pediatric Nurse Practitioner
  • New Hyde Park, NY
National Provider Identifier
1538814637
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
F383315-01 Issued in NY
Practice address
410 Lakeville Rd Ste 202
New Hyde Park, NY 11042-1103
Phone
(516) 992-5219
NPI assigned
Feb 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X F383315-01 NY Primary

Addresses

Primary practice location

410 Lakeville Rd Ste 202
New Hyde Park, NY 11042-1103

Mailing address

2 Biltmore Blvd
Massapequa, NY 11758-7239

Other practice location 1

321 Crossways Park Dr Ste A
Woodbury, NY 11797-2066
Phone (516) 992-5219

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F383315-01NYMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince May 16, 2022 Accepting new patients

Locations

410 Lakeville Rd
Ste 202
New Hyde Park, NY 11042
Phone (516) 216-1777

300 Community Dr
Plandome, NY 11030

972 Brush Hollow Rd
Westbury, NY 11590

321 Crossways Park Dr
Ste A
Woodbury, NY 11797
Phone (516) 992-5219

Networks

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

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": "1644969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1538814637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BILTMORE BLVD",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117587239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 LAKEVILLE RD STE 202",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421103",
            "telephone_number": "516-992-5219"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "321 Crossways Park Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Woodbury",
            "state": "NY",
            "postal_code": "117972066",
            "country_code": "US",
            "telephone_number": "516-992-5219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONOHUE",
        "first_name": "DANIELLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-16",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "F383315-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.