Individual provider Active NPI

Dana Estefan Chersi

  • Pediatric Nurse Practitioner
  • Valhalla, NY
National Provider Identifier
1578093829
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
F382840-1 Issued in NY
Practice address
100 Woods Rd
Valhalla, NY 10595-1530
Phone
(914) 493-7000
NPI assigned
Jun 19, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 717055 NY
Pediatric Nurse Practitioner 363LP0200X F382840-1 NY Primary

Addresses

Primary practice location

100 Woods Rd
Valhalla, NY 10595-1530

Mailing address

11 Shannon LN
Cos Cob, CT 06807-1115
Phone (202) 468-8261

Other practice location 1

627 Lydig Ave
Bronx, NY 10462
Phone (718) 772-0070

Other practice location 2

617 W 168th St
New York, NY 10032-3703
Phone (212) 305-5756

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
I20241112000624 NY Practitioner - Nurse Practitioner 5092249235 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
717055NYMDRegistered Nurse
F382840-1NYMDPediatric Nurse Practitioner

Practice roles (4 of 7)

OrganizationSpecialtyStatusNew patients
Boston Children'S Health Physicians, LLP CurrentSince Oct 1, 2024 Accepting new patients
Boston Childrens Health Physicians LLP CurrentSince Oct 1, 2024 Accepting new patients
Lydig Pediatrics PC PastSince May 1, 2013 Accepting new patients
Columbia University Registered Nurse Past Accepting new patients

Locations

19 Bradhurst Ave
Ste 2200
Hawthorne, NY 10532
Phone (914) 493-2373

19 Bradhurst Ave
Hawthorne, NY 10532
Phone (914) 493-7235

100 Woods Rd
#O
Valhalla, NY 10595

100 Woods Rd
Valhalla, NY 10595
Phone (914) 490-7000

400 Columbus Ave
Ste 200E
Valhalla, NY 10595
Phone (314) 400-4416

Networks

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

Interoperability endpoints

  • Direct secure messaging: dana.chersi.p1@direct.cwpw.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1578093829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 SHANNON LN",
            "city": "COS COB",
            "state": "CT",
            "postal_code": "068071115",
            "telephone_number": "202-468-8261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WOODS RD",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "105951530",
            "telephone_number": "914-493-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "627 Lydig Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "10462",
            "country_code": "US",
            "telephone_number": "718-772-0070",
            "fax_number": "718-709-7028",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "617 W 168th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100323703",
            "country_code": "US",
            "telephone_number": "212-305-5756",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHERSI",
        "first_name": "DANA",
        "middle_name": "ESTEFAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-19",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "717055",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "F382840-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valhalla, NY

Sources for this page

Verify at the official NPI Registry.