Active NPI
Luisa Remponi, AGNP-C
- Adult Health Nurse Practitioner
- Elmhurst, NY
National Provider Identifier
1730728007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- F309219
- Practice address
- 80-31 LL1 Broadway
Elmhurst, NY 11373 - Phone
- (917) 340-8997
- Fax
- (929) 424-3306
- NPI assigned
- Jan 3, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | F309219 | NY | |
| Adult Health Nurse Practitioner | 363LA2200X | F309219 | NY | Primary |
Addresses
Primary practice location
80-31 LL1 Broadway
Elmhurst, NY 11373
Mailing address
5945 161St St FL 2
Fresh Meadows, NY 11365-1414
Phone (929) 299-4627
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210130000144 | NY | Practitioner - Nurse Practitioner | 6305250531 | Practice locations: Elmhurst, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 309219 | NY | MD | Infectious Disease Physician |
| F309219 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mt Caring Professionals Inc | Current | Accepting new patients | |
| Bruce L Feldman, MD, PLLC | Current | Accepting new patients | |
| Erie T Agustin MD PC | Past | Accepting new patients | |
| Italy Rehab PT PC | Past | Accepting new patients | |
| Eta Medical Management Inc | Past | Accepting new patients |
Locations
8031 Broadway
#1
Elmhurst, NY 11373
Phone (917) 340-8997
5945 161st St
Fl 2
Fresh Meadows, NY 11365
Interoperability endpoints
- https://api.platform.athenahealth.com/22926/brand/1/csg/1/fhir/r4
Organizations & group practices 5
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.
-
- Family Nurse Practitioner
- Bronx, NY
- NPI 1871245720
-
- Internal Medicine Physician
- Huntington, NY
- NPI 1194070714
-
- Clinic/Center
- Woodside, NY
- NPI 1306037247
-
- Internal Medicine Physician
- Woodside, NY
- NPI 1336900836
-
- Physical Therapy Clinic/Center
- Brooklyn, NY
- NPI 1427563287
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616025600000",
"number": "1730728007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5945 161ST ST FL 2",
"city": "FRESH MEADOWS",
"state": "NY",
"postal_code": "113651414",
"telephone_number": "929-299-4627",
"fax_number": "917-725-9145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80-31 LL1 BROADWAY",
"city": "ELMHURST",
"state": "NY",
"postal_code": "11373",
"telephone_number": "917-340-8997",
"fax_number": "929-424-3306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REMPONI",
"first_name": "LUISA",
"name_prefix": "Ms.",
"credential": "AGNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-03",
"last_updated": "2021-03-18",
"certification_date": "2021-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NY",
"license": "F309219",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F309219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elmhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.