Active NPI
Luca Gaetano Radomile
- Psychiatric/Mental Health Nurse Practitioner
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- F402636-1
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 739000 | NY | MD | Registered Nurse |
| F402636-1 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Floating Hospital Inc. | Current | Accepting new patients | |
| The Floating Hospital Inc. | Current | Accepting new patients | |
| Metropolitan Center for Mental Health, Inc. | Current | Accepting new patients | |
| Families and Individuals in Recovery | Current | 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 | Current | 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.
-
- Group Psychotherapy Psychologist
- New York, NY
- NPI 1275695371
-
- Psychiatric/Mental Health Nurse Practitioner
- Brooklyn, NY
- NPI 1053086744
-
- Federally Qualified Health Center (FQHC)
- Long Island City, NY
- NPI 1306954631
-
- Mental Health Counselor
- Miami, FL
- NPI 1245845932
NY, Psychiatric/Mental Health
-
- Psychiatry Physician
- West Palm Beach, FL
- NPI 1033921655
-
- Addiction (Substance Use Disorder) Psychologist
- New York, NY
- NPI 1841354370
-
- Federally Qualified Health Center (FQHC)
- Brooklyn, NY
- NPI 1275946550
-
- Federally Qualified Health Center (FQHC)
- Long Island City, NY
- NPI 1851704530
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.