Individual provider Active NPI

Karin Zaberto

  • Adult Health Nurse Practitioner
  • Port Jefferson, NY
National Provider Identifier
1679120679
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
309205 Issued in NY
Practice address
635 Belle Terre Rd Ste 209
Port Jefferson, NY 11777-1987
Phone
(631) 474-0707
NPI assigned
Aug 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2021

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 309205 NY Primary

Addresses

Primary practice location

635 Belle Terre Rd Ste 209
Port Jefferson, NY 11777-1987

Mailing address

23 McKay Rd
Huntington Station, NY 11746-1316
Phone (516) 860-8257

Other names 1

  • Karin Merrins Former name

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
I20191029002588 NY Practitioner - Nurse Practitioner 7810229564 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
CHS Physician Partners, P.C CurrentSince Feb 28, 2023 Accepting new patients
North Shore Hematology Oncology Associates PC CurrentSince Dec 1, 2022 Accepting new patients
New York University CurrentSince Feb 12, 2024 Accepting new patients
Long Island Physician Associates, PLLC CurrentSince Oct 1, 2019 Accepting new patients
CHS Physician Partners, PC Current Accepting new patients
New York University CurrentSince Feb 12, 2024 Accepting new patients

Locations

635 Belle Terre Rd
Ste 209
Port Jefferson, NY 11777
Phone (631) 503-1400

1500 Route 112
Bldg 4
Port Jefferson Station, NY 11776
Phone (631) 574-8354

70 N Country Rd
Ste 203
Prt Jefferson, NY 11777
Phone (631) 744-3611

77 N Centre Ave
Ste 201
Rockville Centre, NY 11570
Phone (516) 764-7246

77 N Centre Ave
Ste 201202
Rockville Centre, NY 11570

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

333 Route 25A
Ste 225
Rocky Point, NY 11778
Phone (631) 503-1400

100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800

48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3540

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

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

Interoperability endpoints

  • Direct secure messaging: kzaberto615474@nyumc.direct-ci.com

Organizations & group practices 6

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": "1566518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1679120679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 MCKAY RD",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117461316",
            "telephone_number": "516-860-8257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 BELLE TERRE RD STE 209",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117771987",
            "telephone_number": "631-474-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZABERTO",
        "first_name": "KARIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-23",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "309205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARIN",
            "last_name": "MERRINS",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Port Jefferson, NY

Sources for this page

Verify at the official NPI Registry.