Individual provider Active NPI

Luca Gaetano Radomile

  • Psychiatric/Mental Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1669036851
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F402636-1 Issued in NY
Practice address
435 E 65TH St Apt 9a
New York, NY 10065-6971
Phone
(914) 732-0332
NPI assigned
Apr 24, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 739000 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F402636-1 NY Primary

Addresses

Primary practice location

435 E 65TH St Apt 9a
New York, NY 10065-6971

Mailing address

4143 Crescent St
Long Island City, NY 11101-3805

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
I20190709002715 NY Practitioner - Nurse Practitioner 4385979616 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Metropolitan Center for Mental Health IncGroup PAC ID 6709798978, 25 clinicians

Practice addresses (Care Compare)

160 W 86 St
New York, NY 10024-4018
Phone 2128751300508

435 E 65TH St
Apt 9a
New York, NY 10065-6971
Phone (914) 732-0332

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
739000NYMDRegistered Nurse
F402636-1NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Floating Hospital Inc. CurrentSince Jun 18, 2019 Accepting new patients
The Floating Hospital Inc. CurrentSince Jun 18, 2019 Accepting new patients
Metropolitan Center for Mental Health, Inc. Current Accepting new patients
Families and Individuals in Recovery CurrentSince Sep 19, 2022 Accepting new patients
The Floating Hospital Inc. Current Accepting new patients
Luca Radomile NP in Psychiatry LLC Current Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Jun 11, 2025 Accepting new patients

Locations

1029 41st Ave
Long Island City, NY 11101
Phone (718) 361-6266

165 Broadway
Fl 23
New York, NY 10006
Phone (202) 972-4964

Organizations & group practices 8

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": "1556064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1669036851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4143 CRESCENT ST",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111013805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 E 65TH ST APT 9A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656971",
            "telephone_number": "914-732-0332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADOMILE",
        "first_name": "LUCA",
        "middle_name": "GAETANO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-24",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "739000",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F402636-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.