Active NPI
Dana Estefan Chersi
- Pediatric Nurse Practitioner
- Valhalla, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- F382840-1
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 717055 | NY | MD | Registered Nurse |
| F382840-1 | NY | MD | Pediatric Nurse Practitioner |
Practice roles (4 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boston Children'S Health Physicians, LLP | Current | Accepting new patients | |
| Boston Childrens Health Physicians LLP | Current | Accepting new patients | |
| Lydig Pediatrics PC | Past | 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
- dana.chersi.p1@direct.cwpw.nextgenshare.com
- 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.
-
- Clinical Medical Laboratory
- Sleepy Hollow, NY
- NPI 1588651079
-
- Registered Nurse
- New York, NY
- NPI 1407209653
-
- Pediatrics Physician
- Bronx, NY
- NPI 1861732547
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.