Individual provider Active NPI

Luisa Remponi, AGNP-C

  • Adult Health Nurse Practitioner
  • Elmhurst, NY
National Provider Identifier
1730728007
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F309219 Issued in NY
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

Updated by the provider on Mar 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210130000144 NY Practitioner - Nurse Practitioner 6305250531 Practice locations: Elmhurst, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
309219NYMDInfectious Disease Physician
F309219NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mt Caring Professionals Inc CurrentSince Jan 26, 2022 Accepting new patients
Bruce L Feldman, MD, PLLC CurrentSince Mar 21, 2021 Accepting new patients
Erie T Agustin MD PC PastSince May 11, 2004 Accepting new patients
Italy Rehab PT PC PastSince Oct 12, 2024 Accepting new patients
Eta Medical Management Inc PastSince Jan 1, 2024 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.