Individual provider Active NPI

Besarta Berisha, N. P.

  • Gerontology Nurse Practitioner
  • Glen Cove, NY
National Provider Identifier
1750684684
Registry record updated Jan 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
F307924-1 Issued in NY
Practice address
10 Locust St
Glen Cove, NY 11542-2393
Phone
(646) 271-7418
NPI assigned
Dec 15, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X F307924-1 NY Primary

Addresses

Primary practice location

10 Locust St
Glen Cove, NY 11542-2393

Mailing address

1129 Northern Blvd
Ste 101
Manhasset, NY 11030-3022
Phone (516) 676-7079

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
I20170411000682 NY Practitioner - Nurse Practitioner 8729364559 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prine Health Medical Group, PLLCGroup PAC ID 1557600384, 77 clinicians

Practice addresses (Care Compare)

1129 Northern Blvd
Suite 101
Manhasset, NY 11030-3022
Phone (516) 407-2727

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
99.37
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
307924NYMDGeneral Practice Physician
F307924-1NYMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prine Health Medical Group, PLLC CurrentSince Apr 1, 2019 Accepting new patients
Prine Health Medical Group, PLLC CurrentSince Apr 1, 2019 Accepting new patients
Prine Health Medical Group, PLLC Past Accepting new patients

Locations

20110 Northern Blvd
Ste 304
Bayside, NY 11361
Phone (516) 407-2727

370 Old Country Rd
Ste 100
Garden City, NY 11530
Phone (516) 222-1000

1129 Northern Blvd
Ste 101
Manhasset, NY 11030
Phone (516) 365-5570

Networks

  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: bberisha@prine.curemd.direct-ci.com

Organizations & group practices 3

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 2

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": "1292371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483488000000",
    "number": "1750684684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1129 NORTHERN BLVD",
            "address_2": "STE 101",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303022",
            "telephone_number": "516-676-7079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 LOCUST ST",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422393",
            "telephone_number": "646-271-7418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERISHA",
        "first_name": "BESARTA",
        "name_prefix": "Ms.",
        "credential": "N. P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-15",
        "last_updated": "2017-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NY",
            "license": "F307924-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Cove, NY

Sources for this page

Verify at the official NPI Registry.