Individual provider Active NPI

Hana Marie Pappas, NP

  • Pediatric Nurse Practitioner
  • Astoria, NY
National Provider Identifier
1568802874
Registry record updated Jun 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
382438 Issued in NY
Practice address
3711 23Rd Ave
Astoria, NY 11105-1901
Phone
(718) 721-6166
NPI assigned
Jul 1, 2013
Last updated
Jun 26, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 382438 NY Primary
Registered Nurse 163W00000X 643998 NY
Neonatal Intensive Care Registered Nurse 163WN0002X 26NR15509000 NJ

Addresses

Primary practice location

3711 23Rd Ave
Astoria, NY 11105-1901

Mailing address

3711 23Rd Ave
Astoria, NY 11105-1901
Phone (718) 721-6166

Other identifiers 1

IdentifierTypeStateIssuer
03792656MedicaidNY

Other names 1

  • Hana Marie Pantuso 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
I20160713001959 NY Practitioner - Nurse Practitioner 0042502924 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
643998NYMDRegistered Nurse
26NR15509000NJMDNeonatal Intensive Care Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince May 7, 2016 Accepting new patients
North Shore - Lij Medical PC CurrentSince May 7, 2016 Accepting new patients
Astoria Pediatric Associates Past Accepting new patients

Locations

2325 31st St
Fl 3
Astoria, NY 11105
Phone (718) 721-7237

20014 44th Ave
Flushing, NY 11361
Phone (718) 224-3000

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

3711 23rd Ave
Long Is City, NY 11105
Phone (718) 721-6166

300 Community Dr
Manhasset, NY 11030

26901 76th Ave
New Hyde Park, NY 11040
Phone (718) 470-3000

972 Brush Hollow Rd
Westbury, NY 11590

Networks

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

Interoperability endpoints

  • Direct secure messaging: hpantuso61166@northwell.direct-ci.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1372636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1568802874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3711 23RD AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111051901",
            "telephone_number": "718-721-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3711 23RD AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111051901",
            "telephone_number": "718-721-6166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPPAS",
        "first_name": "HANA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-01",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "382438",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "643998",
            "primary": false
        },
        {
            "code": "163WN0002X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Neonatal Intensive Care",
            "state": "NJ",
            "license": "26NR15509000",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03792656",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANA",
            "last_name": "PANTUSO",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Astoria, NY

Sources for this page

Verify at the official NPI Registry.