Individual provider Active NPI

Patricia Murray Given, N. P.

  • Nurse Practitioner
  • Staten Island, NY
National Provider Identifier
1639167364
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F331410 Issued in NY
Practice address
2627 Hylan Boulevard
Suite C
Staten Island, NY 10306-4344
Phone
(718) 351-1136
Fax
(718) 667-9711
NPI assigned
Oct 6, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F331410 NY Primary

Addresses

Primary practice location

2627 Hylan Boulevard
Suite C
Staten Island, NY 10306-4344

Mailing address

2627 Hylan Boulevard
Suite C
Staten Island, NY 10306-4344
Phone (718) 351-1136

Other identifiers 1

IdentifierTypeStateIssuer
01993879MedicaidNY

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
I20040721001677 NY Practitioner - Nurse Practitioner 4789664699 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Island Medical Specialists, PLLCGroup PAC ID 9436137817, 4 clinicians

Practice addresses (Care Compare)

191 Bradley Ave
Staten Island, NY 10314-5166
Phone (718) 698-8800

Merit-based Incentive Payment System (MIPS)

Final score
72.16 of 100Reported as group
Quality
39.71
Improvement activities
40
Cost
67.57

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F331410NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Island Medical Specialists, P.L.L.C. CurrentSince Feb 1, 2004 Accepting new patients

Locations

347 Edison St
Staten Island, NY 10306
Phone (718) 351-1136

97 New Dorp Ln
Ste A
Staten Island, NY 10306

191 Bradley Ave
Staten Island, NY 10314
Phone (516) 558-3010

375 Seguine Ave
Staten Island, NY 10309
Phone (718) 226-2000

Networks

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

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1639167364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2627 HYLAN BOULEVARD",
            "address_2": "SUITE C",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103064344",
            "telephone_number": "718-351-1136",
            "fax_number": "718-667-9711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2627 HYLAN BOULEVARD",
            "address_2": "SUITE C",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103064344",
            "telephone_number": "718-351-1136",
            "fax_number": "718-667-9711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIVEN",
        "first_name": "PATRICIA",
        "middle_name": "MURRAY",
        "credential": "N. P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-06",
        "last_updated": "2023-03-07",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F331410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01993879",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.