Individual provider Active NPI

Tiana Sunshine Morano

  • Nurse Practitioner
  • North Babylon, NY
National Provider Identifier
1619542453
Registry record updated Dec 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
348165 Issued in NY
Practice address
1231 Deer Park Ave
North Babylon, NY 11703-3104
Phone
(631) 667-0338
NPI assigned
May 24, 2021
Last updated
Dec 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 626459 NY
Nurse Practitioner 363L00000X 348165 NY Primary
Registered Nurse 163W00000X 626459 NY

Addresses

Primary practice location

1231 Deer Park Ave
North Babylon, NY 11703-3104

Mailing address

2197 Louis Kossuth Ave
Ronkonkoma, NY 11779-6320

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
I20210826001562 NY Practitioner - Nurse Practitioner 5496150690 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of New York at Stony Brook, School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fulton Medical PCGroup PAC ID 8527201540, 19 clinicians

Practice addresses (Care Compare)

60 Queens St
Suite 100
Syosset, NY 11791-3058
Phone (631) 271-9151

Merit-based Incentive Payment System (MIPS)

Final score
92.71 of 100Reported as group
Quality
79.66
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
626459NYMDRegistered Nurse
348165NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Long Island Medical Services P.C. CurrentSince Apr 5, 2024 Accepting new patients
Fulton Medical, P.C. CurrentSince Jul 1, 2022 Accepting new patients
Shahzad Iqbal Physician PLLC PastSince Jun 22, 2021 Accepting new patients
Hematology and Oncology of Li PLLC Past Accepting new patients

Locations

4295 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 520-2250

68 Hauppauge Rd
Commack, NY 11725
Phone (631) 499-6500

5353 Merrick Rd
Massapequa, NY 11758
Phone (516) 798-1800

400 S Service Rd
Melville, NY 11747
Phone (631) 439-3000

2478 Jerusalem Ave
North Bellmore, NY 11710
Phone (516) 317-1681

305 Locust Ave
Oakdale, NY 11769
Phone (631) 218-5900

60 Queens St
Ste 100
Syosset, NY 11791
Phone (347) 267-0904

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, 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": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640563200000",
    "number": "1619542453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2197 LOUIS KOSSUTH AVE",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117796320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 DEER PARK AVE",
            "city": "NORTH BABYLON",
            "state": "NY",
            "postal_code": "117033104",
            "telephone_number": "631-667-0338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORANO",
        "first_name": "TIANA",
        "middle_name": "SUNSHINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-24",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "626459",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "348165",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "626459",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Babylon, NY

Sources for this page

Verify at the official NPI Registry.