Nancy Altagracia Mata Fermin, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F353217-01 Issued in NY

Practice address

436 Fort Washington Ave Apt 1H
New York, NY 10033-3537

Phone

(347) 293-3818

Fax

(212) 923-5531

NPI assigned

Dec 19, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Nancy Altagracia Mata Fermin Other name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Networks

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

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.

• Felix Florimon, M.D.

  • Internal Medicine Physician
  • New York, NY
  • NPI 1528102787
  Medicare reassignment

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

{
    "created_epoch": "1702944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1740058635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 ROSE AVE",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115901027",
            "telephone_number": "347-293-3818",
            "fax_number": "212-923-5531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 FORT WASHINGTON AVE APT 1H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100333537",
            "telephone_number": "347-293-3818",
            "fax_number": "212-923-5531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATA FERMIN",
        "first_name": "NANCY",
        "middle_name": "ALTAGRACIA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-19",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F353217-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "MATA FERMIN",
            "middle_name": "ALTAGRACIA",
            "credential": "NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kiriko Masuno
• Arjun Vijay Masurkar, M.D., PH.D.
• Rebecca Kwon Masutani, MD
• Ashley Masy
• Mariya Masyukova, M.D., M.S.
• Ana Paola Mata Zetina, DO, MPH
• Hector R Mata
• Jeovani Mata, LMSW
• Mariela Mata, MSW
• Mildred Mata

• Family Nurse Practitioner in New York, NY
• Providers in New York, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.

Verify at the official NPI Registry.