Individual provider Active NPI

Richard J. Nadan, MBA, NP

  • Acute Care Nurse Practitioner
  • Manhasset, NY
National Provider Identifier
1558517128
Registry record updated Mar 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
430088 Issued in NY
Practice address
400 Community Dr
North Shore - Lij, Infectious Diseas
Manhasset, NY 11030-3815
Phone
(516) 562-4280
Fax
(516) 562-2626
NPI assigned
Aug 14, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 430088 NY Primary

Addresses

Primary practice location

400 Community Dr
North Shore - Lij, Infectious Diseas
Manhasset, NY 11030-3815

Mailing address

400 Community Drive
North Shore - Lij, Infectious Diseas
Manhasset, NY 11030-3815
Phone (516) 562-4280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Business Administration, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
430088NYMDAcute Care Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332979200000",
    "number": "1558517128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 COMMUNITY DRIVE",
            "address_2": "NORTH SHORE - LIJ, INFECTIOUS DISEAS",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303815",
            "telephone_number": "516-562-4280",
            "fax_number": "516-562-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 COMMUNITY DR",
            "address_2": "NORTH SHORE - LIJ, INFECTIOUS DISEAS",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303815",
            "telephone_number": "516-562-4280",
            "fax_number": "516-562-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADAN",
        "first_name": "RICHARD",
        "middle_name": "J.",
        "name_prefix": "Prof.",
        "credential": "MBA, NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-14",
        "last_updated": "2012-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NY",
            "license": "430088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhasset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.