Stephanie Ingwersen, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F349959-01 Issued in NY

Practice address

104 Cisney Ave
Floral Park, NY 11001-3246

Phone

(516) 749-2435

NPI assigned

Aug 9, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Healthy Heart Cardiology, P.C.

  • Specialist
  • Great Neck, NY
  • NPI 1124434618
  Medicare reassignment NPD

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

{
    "created_epoch": "1660003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1649908609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 CISNEY AVE",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110013246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 CISNEY AVE",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110013246",
            "telephone_number": "516-749-2435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGWERSEN",
        "first_name": "STEPHANIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-09",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F349959-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Akiko Ida
• Idm Supply Group Inc
• Ihome Rehab,LLC
• Inder Therapy
• Jennifer Ingarra-Sommo
• Irvin L Kotkin MD PC
• Island Pro Medical Care, PLLC
• Arezu N Izad, DPM
• Lori Jackson, MS.ED
• Josepheena Jacob, M.D.

• Family Nurse Practitioner in Floral Park, NY
• Providers in Floral Park, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.