Active NPI
Danialle R. Coyne, NP
- Adult Health Nurse Practitioner
- New York, NY
National Provider Identifier
1629494216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- F307184
- Practice address
- 17 E 102ND St FL 4
New York, NY 10029-5204 - Phone
- (212) 659-8552
- Fax
- (212) 426-0349
- NPI assigned
- Mar 6, 2014
- Last updated
- Jul 16, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | F307184 | NY | Primary |
Addresses
Primary practice location
17 E 102ND St FL 4
New York, NY 10029-5204
Mailing address
PO Box 28082
New York, NY 10087-8082
Phone (212) 731-3100
Other practice location 1
1 Gustave L Levy Pl
New York, NY 10029-6504
Phone (212) 241-4299
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04177262 | Medicaid | NY |
Other names 1
- Danialle R. Calaustro
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1 Gustave L Levy PL
New York, NY 10029-6504
Phone (212) 658-8552
17 E 102ND
Dept of General Medicine
New York, NY 10029-5204
Phone (212) 658-8552
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F307184 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Past | Accepting new patients |
Locations
150 E 42nd St
#10
New York, NY 10017
17 E 102nd St
Fl 4
New York, NY 10029
Phone (212) 659-8554
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 2
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.
-
dba Geriatric Medicine Department of Mount Sinai
- Geriatric Medicine (Internal Medicine) Physician
- New York, NY
- NPI 1689947160
-
dba OB/GYN Department of Mount Sinai
- Obstetrics & Gynecology Physician
- New York, NY
- NPI 1124392212
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Long Island City, NY
- NPI 1245248939
-
- Rehabilitation Hospital
- New York, NY
- NPI 1669440327
-
- General Acute Care Hospital
- New York, NY
- NPI 1932103413
-
- General Acute Care Hospital
- New York, NY
- NPI 1225295512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626393600000",
"number": "1629494216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 28082",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100878082",
"telephone_number": "212-731-3100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 E 102ND ST FL 4",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100295204",
"telephone_number": "212-659-8552",
"fax_number": "212-426-0349"
}
],
"practiceLocations": [
{
"address_1": "1 Gustave L Levy Pl",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100296504",
"country_code": "US",
"telephone_number": "212-241-4299",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COYNE",
"first_name": "DANIALLE",
"middle_name": "R.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-03-06",
"last_updated": "2021-07-16",
"certification_date": "2021-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F307184",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04177262",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DANIALLE",
"last_name": "CALAUSTRO",
"middle_name": "R.",
"credential": "NP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.