Individual provider Active NPI

Naomi Pratik Kothary, NP

  • Acute Care Nurse Practitioner
  • New Hyde Park, NY
National Provider Identifier
1750811352
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
431225 Issued in NY
Practice address
1991 Marcus Ave FL 2
New Hyde Park, NY 11042-2057
Phone
(516) 354-1600
Fax
(516) 941-4673
NPI assigned
Jun 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 702523 NY
Acute Care Nurse Practitioner 363LA2100X 431225 NY Primary

Addresses

Primary practice location

1991 Marcus Ave FL 2
New Hyde Park, NY 11042-2057

Mailing address

55 Water St FL 2
New York, NY 10041-0010
Phone (646) 680-2888

Other practice location 1

425 E 61st St Fl 5
New York, NY 10065-8722
Phone (215) 962-1337

Other practice location 2

9257 Outlook Avenue
Philadelphia, PA 19114
Phone (215) 962-1337

Other identifiers 2

IdentifierTypeStateIssuer
702523OtherNYNY STATE
431225OtherNYNURSE PRACTITIONER

Other names 1

  • Naomi Pratik Narielwala Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://weillcornell.org/services/neurology/center-for-sleep-medicine

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
I20190722003087 NY Practitioner - Nurse Practitioner 4688900111 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CHS Physician Partners PCGroup PAC ID 7618955667, 739 clinicians

Practice addresses (Care Compare)

1000 Montauk Hwy
West Islip, NY 11795-4927
Phone (631) 376-3000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
702523NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Advantagecare Physicians PC CurrentSince May 8, 2023 Accepting new patients
CHS Physician Partners, P.C CurrentSince Dec 1, 2021 Accepting new patients
Samaritan Medical Services, P.C. CurrentSince May 1, 2021 Accepting new patients
Weill Medical College of Cornell CurrentSince Aug 1, 2019 Accepting new patients
Advantagecare Physicians PC CurrentSince May 8, 2023 Accepting new patients
CHS Physician Partners, PC CurrentSince Dec 1, 2021 Accepting new patients
Weill Medical College of Cornell CurrentSince Aug 1, 2019 Accepting new patients
CHS Physician Partners, PC Current Accepting new patients

Locations

233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595

245 Old Country Rd
Melville, NY 11747
Phone (631) 465-6141

1991 Marcus Ave
Fl 2
New Hyde Park, NY 11042
Phone (516) 354-1600

55 Water St
Fl 2
New York, NY 10041

425 E 61st St
Fl 5
New York, NY 10065
Phone (646) 962-7378

525 E 68th St
New York, NY 10065
Phone (212) 746-2846

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

100 Port Washington Blvd
Roslyn, NY 11576
Phone (516) 562-6385

1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689

Interoperability endpoints

  • Direct secure messaging: naominarielwala@nslijmedgr.allscriptsdirect.net
  • Direct secure messaging: nnarielwala133656@direct-chsli.net
  • FHIR API: https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4

Organizations & group practices 8

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": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1750811352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 WATER ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100410010",
            "telephone_number": "646-680-2888",
            "fax_number": "516-542-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1991 MARCUS AVE FL 2",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110422057",
            "telephone_number": "516-354-1600",
            "fax_number": "516-941-4673"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "425 E 61st St Fl 5",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100658722",
            "country_code": "US",
            "telephone_number": "215-962-1337",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9257 Outlook Avenue",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "19114",
            "country_code": "US",
            "telephone_number": "215-962-1337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOTHARY",
        "first_name": "NAOMI",
        "middle_name": "PRATIK",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-15",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "702523",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NY",
            "license": "431225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY STATE",
            "identifier": "702523",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER",
            "identifier": "431225",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://weillcornell.org/services/neurology/center-for-sleep-medicine",
            "affiliation": "N",
            "address_1": "425 E 61st St Fl 5",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100658722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NAOMI",
            "last_name": "NARIELWALA",
            "middle_name": "PRATIK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.