Individual provider Active NPI

Carine R.V. Renois

  • Family Nurse Practitioner
  • Westbury, NY
National Provider Identifier
1740894237
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F346487-01 Issued in NY
Practice address
320 Post Ave Ste 102
Westbury, NY 11590-2258
Phone
(631) 747-7673
NPI assigned
Sep 2, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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 F346487-01 NY Primary

Addresses

Primary practice location

320 Post Ave Ste 102
Westbury, NY 11590-2258

Mailing address

953 Front St
Uniondale, NY 11553-1543
Phone (631) 747-7673

Other practice location 1

164 River Rd
Shirley, NY 11967-1553
Phone (631) 747-7673

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
I20210325000999 NY Practitioner - Nurse Practitioner 7113334848 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
My Medical PCGroup PAC ID 0143610600, 93 clinicians
Peyman Younesi MD PLLCGroup PAC ID 4981860202, 98 clinicians

Practice addresses (Care Compare)

211 Lake Shore Rd
Ronkonkoma, NY 11779-3192
Phone (631) 768-1000

839 Suffolk Ave
Brentwood, NY 11717-4403
Phone (310) 709-1236

Hospital & facility affiliations

  • Wellbound Home health agency, Brooklyn, NY, CCN 337450

Merit-based Incentive Payment System (MIPS)

Final score
20.79 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
69.3

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F346487-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Renew Medical of New York, PLLC CurrentSince Feb 2, 2025 Accepting new patients
Medical Services of Northeastern Queens PLLC CurrentSince Sep 1, 2024 Accepting new patients
Fresh Meadows Physician Practice PLLC CurrentSince Aug 1, 2024 Accepting new patients
Peyman Younesi MD PLLC CurrentSince Mar 1, 2024 Accepting new patients
My Medical PC CurrentSince Oct 3, 2025 Accepting new patients

Locations

3438 Bell Blvd
Ste 301
Bayside, NY 11361

839 Suffolk Ave
Brentwood, NY 11717
Phone (631) 273-4700

147 2nd Ave
Brentwood, NY 11717
Phone (631) 273-7204

691 92nd St
Brooklyn, NY 11228
Phone (718) 567-1000

2830 Pitkin Ave
Brooklyn, NY 11208
Phone (347) 420-8295

1481 McDonald Ave
Brooklyn, NY 11230
Phone (347) 479-1110

8008 45th Ave
Flushing, NY 11373
Phone (718) 373-0777

7810 164th St
Fresh Meadows, NY 11366
Phone (718) 429-2200

1 S Route 9W
Haverstraw, NY 10927
Phone (845) 429-8411

9131 175th St
Jamaica, NY 11432
Phone (340) 709-3133

1 Commons Dr
Lake Katrine, NY 12449
Phone (845) 336-6666

822 Cedar Ave
Niagara Falls, NY 14301
Phone (716) 272-1207

284 Troy Rd
Rensselaer, NY 12144
Phone (518) 286-1621

385 Seneca Ave
Ridgewood, NY 11385
Phone (201) 843-7574

211 Lake Shore Rd
Ronkonkoma, NY 11779
Phone (516) 581-1476

Networks

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

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1740894237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "953 FRONT ST",
            "city": "UNIONDALE",
            "state": "NY",
            "postal_code": "115531543",
            "telephone_number": "631-747-7673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 POST AVE STE 102",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115902258",
            "telephone_number": "631-747-7673"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "164 River Rd",
            "address_purpose": "LOCATION",
            "city": "Shirley",
            "state": "NY",
            "postal_code": "119671553",
            "country_code": "US",
            "telephone_number": "631-747-7673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RENOIS",
        "first_name": "CARINE",
        "middle_name": "R.V.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-02",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F346487-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westbury, NY

Sources for this page

Verify at the official NPI Registry.