Individual provider Active NPI

Michelle Elana Chaskes, NP

  • Pediatric Nurse Practitioner
  • New Hyde Park, NY
National Provider Identifier
1679929095
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
F383384-01 Issued in NY
Practice address
410 Lakeville Rd Ste 305
New Hyde Park, NY 11042-1123
Phone
(614) 506-4744
Fax
(215) 590-3053
NPI assigned
May 5, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X SP017685 PA
Pediatric Nurse Practitioner 363LP0200X F383384-01 NY Primary

Addresses

Primary practice location

410 Lakeville Rd Ste 305
New Hyde Park, NY 11042-1123

Mailing address

410 Lakeville Rd Ste 305
New Hyde Park, NY 11042-1123
Phone (614) 506-4744

Other identifiers 1

IdentifierTypeStateIssuer
1679929095MedicaidOH

Other names 1

  • Michelle Elana Marowitz Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL mmarowitz@northwell.edu

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
I20221025000574 NY Practitioner - Nurse Practitioner 7416323951 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F383384-01NYMDPediatric Nurse Practitioner
SP017685PAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Aug 22, 2022 Accepting new patients

Locations

410 Lakeville Rd
Ste 305
New Hyde Park, NY 11042
Phone (516) 437-4300

1991 Marcus Ave
Ste 302
New Hyde Park, NY 11042
Phone (516) 321-8600

300 Community Dr
Plandome, NY 11030

972 Brush Hollow Rd
Westbury, NY 11590

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1462406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1679929095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 LAKEVILLE RD STE 305",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421123",
            "telephone_number": "614-506-4744",
            "fax_number": "215-590-3053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 LAKEVILLE RD STE 305",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421123",
            "telephone_number": "614-506-4744",
            "fax_number": "215-590-3053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHASKES",
        "first_name": "MICHELLE",
        "middle_name": "ELANA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-05",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "SP017685",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "F383384-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679929095",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "mmarowitz@northwell.edu",
            "affiliation": "N",
            "address_1": "1991 Marcus Ave Ste 302",
            "city": "New Hyde Park",
            "state": "NY",
            "country_code": "US",
            "postal_code": "110422058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "MAROWITZ",
            "middle_name": "ELANA",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.