Individual provider Active NPI

Cristeta Magno Valdueza, AGPCNP

  • Adult Health Nurse Practitioner
  • New Hyde Park, NY
National Provider Identifier
1659158871
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F309913-01 Issued in NY
Practice address
27111 76TH Ave
New Hyde Park, NY 11040-1423
Phone
(718) 289-2100
NPI assigned
Sep 11, 2023
Last updated
Sep 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F309913-01 NY Primary

Addresses

Primary practice location

27111 76TH Ave
New Hyde Park, NY 11040-1423

Mailing address

71 Plainfield Ave
Floral Park, NY 11001-2134
Phone (516) 328-2841

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
I20240419002751 NY Practitioner - Nurse Practitioner 6901245158 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Refoua Medical PCGroup PAC ID 6406193317, 2 clinicians

Practice addresses (Care Compare)

935 Northern Blvd
Suite 105
Great Neck, NY 11021-5309
Phone (516) 487-0070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
309913NYMDPediatrics Physician
F309913-01NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Refoua Medical P.C. CurrentSince Apr 1, 2025 Accepting new patients

Locations

935 Northern Blvd
Ste 105
Great Neck, NY 11021
Phone (516) 487-0070

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": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1659158871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 PLAINFIELD AVE",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110012134",
            "telephone_number": "516-328-2841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27111 76TH AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401423",
            "telephone_number": "718-289-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDUEZA",
        "first_name": "CRISTETA",
        "middle_name": "MAGNO",
        "name_prefix": "Prof.",
        "credential": "AGPCNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F309913-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.