Individual provider Active NPI

Maria Anne Kasdan, NURSE PRACTITIONER

  • Pediatric Nurse Practitioner
  • Plainview, NY
National Provider Identifier
1619156940
Registry record updated Feb 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
382023 Issued in NY
Practice address
185 Express St Ste 400
Plainview, NY 11803-2406
Phone
(516) 777-8800
Fax
(516) 777-8806
NPI assigned
Nov 2, 2007
Last updated
Feb 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 382023 NY Primary
Pediatric Registered Nurse 163WP0200X 537304 NY

Addresses

Primary practice location

185 Express St Ste 400
Plainview, NY 11803-2406

Mailing address

185 Express St Ste 400
Plainview, NY 11803-2406
Phone (516) 777-8800

Other practice location 1

168 N Ocean Ave
Patchogue, NY 11772-2004
Phone (631) 512-9260

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
537304NYMDPediatric Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Maria Kasdan Nurse Practitioner of Pediatrics PLLC Pediatrics Current Accepting new patients

Locations

168 N Ocean Ave
Patchogue, NY 11772
Phone (631) 289-7179

Networks

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

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, 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": "1193961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613692800000",
    "number": "1619156940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 EXPRESS ST STE 400",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118032406",
            "telephone_number": "516-777-8800",
            "fax_number": "516-777-8806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 EXPRESS ST STE 400",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118032406",
            "telephone_number": "516-777-8800",
            "fax_number": "516-777-8806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "168 N Ocean Ave",
            "address_purpose": "LOCATION",
            "city": "Patchogue",
            "state": "NY",
            "postal_code": "117722004",
            "country_code": "US",
            "telephone_number": "631-512-9260",
            "fax_number": "631-588-8901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KASDAN",
        "first_name": "MARIA",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-02",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "382023",
            "primary": true
        },
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "NY",
            "license": "537304",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainview, NY

Sources for this page

Verify at the official NPI Registry.