Individual provider Active NPI

Donna E McCabe

  • Gerontology Nurse Practitioner
  • Woodside, NY
National Provider Identifier
1619214814
Registry record updated Jan 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
340549 Issued in NY
Practice address
6110 Queens Blvd
2ND Floor
Woodside, NY 11377-5776
Phone
(212) 609-1745
Fax
(646) 524-8337
NPI assigned
Jan 8, 2013
Last updated
Jan 14, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2013

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 476577 NY
Gerontology Nurse Practitioner 363LG0600X 340549 NY Primary

Addresses

Primary practice location

6110 Queens Blvd
2ND Floor
Woodside, NY 11377-5776

Mailing address

245 E 25TH St
Apt 18C
New York, NY 10010-3001
Phone (917) 748-6156

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
I20150513002511 NY Practitioner - Nurse Practitioner 5991025058 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
East Coast Health Medical Services PCGroup PAC ID 8527597780, 5 clinicians

Practice addresses (Care Compare)

109 W 27TH St
Suite 4N
New York, NY 10001-0265
Phone (332) 203-2522

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
476577NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
East Coast Health Medical Services PC CurrentSince Apr 29, 2025 Accepting new patients

Locations

109 W 27th St
Rm 4N
New York, NY 10001
Phone (332) 203-2522

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": "1357603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358121600000",
    "number": "1619214814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 E 25TH ST",
            "address_2": "APT 18C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100103001",
            "telephone_number": "917-748-6156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6110 QUEENS BLVD",
            "address_2": "2ND FLOOR",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113775776",
            "telephone_number": "212-609-1745",
            "fax_number": "646-524-8337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCABE",
        "first_name": "DONNA",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-08",
        "last_updated": "2013-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "476577",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NY",
            "license": "340549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodside, NY

Sources for this page

Verify at the official NPI Registry.