Individual provider Active NPI

Menaka Deepani Thilakarathne, MS, FNP-BC, FNP-C

  • Family Nurse Practitioner
  • Staten Island, NY
National Provider Identifier
1679265185
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F351387-01 Issued in NY
Practice address
230 Perry Ave
Staten Island, NY 10314-5108
Phone
(917) 445-7413
NPI assigned
May 23, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F351387-01 NY Primary

Addresses

Primary practice location

230 Perry Ave
Staten Island, NY 10314-5108

Mailing address

230 Perry Ave
Staten Island, NY 10314-5108
Phone (917) 445-7413

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
I20250916004611 NY Practitioner - Nurse Practitioner 8921502634 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
House Call Medical Services of New York, PLLCGroup PAC ID 2264517754, 162 clinicians

Practice addresses (Care Compare)

1371 Seabury Ave
Bronx, NY 10461-3651
Phone (718) 618-0401

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F351387-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Jul 11, 2025 Accepting new patients
Essen Medical Urgicare, PLLC CurrentSince Sep 13, 2025 Accepting new patients
House Call Medical Services of New York, PLLC CurrentSince Sep 13, 2025 Accepting new patients
North Shore - Lij Medical PC CurrentSince Jul 11, 2025 Accepting new patients
Bronx Medical Practice P.C. CurrentSince Sep 13, 2025 Accepting new patients
Essen Medical Associates, PC CurrentSince Sep 13, 2025 Accepting new patients
Essen Medical Associates, PC CurrentSince Sep 13, 2025 Accepting new patients

Locations (25 of 26)

918 Pelham Pkwy S
Ste 1
Bronx, NY 10462

1550 Dr Martin L King Jr Blvd
Bronx, NY 10452
Phone (347) 269-2366

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

2722 White Plains Rd
Ste A
Bronx, NY 10467

3130 Grand Concourse
Ste 1N
Bronx, NY 10458
Phone (718) 365-0892

1434 Williamsbridge Rd
Ste A
Bronx, NY 10461

2308 Eastchester Rd
Bronx, NY 10469

502 E Tremont Ave
Bronx, NY 10457
Phone (646) 762-6905

616 Castle Hill Ave
Ste A
Bronx, NY 10473

108 E 183rd St
Bronx, NY 10453
Phone (718) 295-4600

1009 E 163rd St
Bronx, NY 10459
Phone (718) 828-6800

5997 Riverdale Ave
Bronx, NY 10471
Phone (718) 601-1900

3134 E Tremont Ave
Bronx, NY 10461
Phone (718) 239-1000

2445 Arthur Ave
Bronx, NY 10458
Phone (718) 220-3434

5667 Riverdale Ave
Bronx, NY 10471

2742 3rd Ave
Ste A
Bronx, NY 10455

1181 Grand Concourse
Bronx, NY 10452
Phone (718) 655-1400

1990 McGraw Ave
Ste A
Bronx, NY 10462

305 E 149th St
Bronx, NY 10451
Phone (212) 470-9229

8989 Union Tpke
Glendale, NY 11385
Phone (718) 480-6207

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650

100 E 77th St
New York, NY 10075
Phone (212) 434-2606

Networks

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

Organizations & group practices 7

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": "1684800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1679265185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 PERRY AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103145108",
            "telephone_number": "917-445-7413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 PERRY AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103145108",
            "telephone_number": "917-445-7413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THILAKARATHNE",
        "first_name": "MENAKA",
        "middle_name": "DEEPANI",
        "credential": "MS, FNP-BC, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-23",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F351387-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.