Individual provider Active NPI

Nefertiti Cano, FNP

  • Family Nurse Practitioner
  • Corona, NY
National Provider Identifier
1730453028
Registry record updated Mar 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
337194 Issued in NY
Practice address
3716 108TH St
Corona, NY 11368-2025
Phone
(718) 651-4000
NPI assigned
Mar 4, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2014

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 337194 NY Primary

Addresses

Primary practice location

3716 108TH St
Corona, NY 11368-2025

Mailing address

1065 Southern Blvd
Bronx, NY 10459-2417

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140812002226 NY Practitioner - Nurse Practitioner 5092932202 Reassigns benefits to 1 organization
I20250502000295 NJ Practitioner - Nurse Practitioner 5092932202 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
House Physician Partners, PC CurrentSince May 1, 2025 Accepting new patients
Montefiore Medical Center CurrentSince Jul 14, 2014 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Jan 19, 2026 Accepting new patients
Montefiore Medical Center CurrentSince Jul 14, 2014 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Jan 19, 2026 Accepting new patients
Urban Health Plan, Inc. Past Accepting new patients

Locations

3 University Plz
Ste 205
Hackensack, NJ 07601

94 Old Short Hills Rd
Ste 1
Livingston, NJ 07039
Phone (973) 322-2800

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

718 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-3232

1065 Southern Blvd
Bronx, NY 10459
Phone 71858924404222

111 E 210th St
Bronx, NY 10467

Networks

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

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": "1330819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395360000000",
    "number": "1730453028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1065 SOUTHERN BLVD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104592417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3716 108TH ST",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113682025",
            "telephone_number": "718-651-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANO",
        "first_name": "NEFERTITI",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-04",
        "last_updated": "2014-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "337194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, NY

Sources for this page

Verify at the official NPI Registry.