Individual provider Active NPI

Maneet Kaur-Kohli

  • Family Nurse Practitioner
  • Huntington, NY
National Provider Identifier
1760189682
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
351269 Issued in NY
Practice address
400 Park Ave
Huntington, NY 11743-3751
Phone
(631) 424-3787
NPI assigned
Feb 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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 351269 NY Primary

Addresses

Primary practice location

400 Park Ave
Huntington, NY 11743-3751

Mailing address

400 Park Ave
Huntington, NY 11743-3751

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240221002043 NY Practitioner - Nurse Practitioner 6709220478 Reassigns benefits to 1 organization
I20240718003465 MA Practitioner - Nurse Practitioner 6709220478 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HDC Care Solutions LLCGroup PAC ID 0345634770, 190 clinicians
Value Based Long Term Care H PCGroup PAC ID 4587104641, 145 clinicians

Practice addresses (Care Compare)

100 Crossing Blvd
Suite 300
Framingham, MA 01702-5555
Phone (888) 964-6681

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
CS Pacs 3 Northeast, LLC CurrentSince Aug 23, 2024 Accepting new patients
North Shore-Lij Medical PC CurrentSince Dec 27, 2023 Accepting new patients
Ma Pacs 2 PC CurrentSince Jul 29, 2024 Accepting new patients
Value Based Long Term Care H PC CurrentSince May 10, 2025 Accepting new patients
Massachusetts Post Acute Medical Services 1 PC CurrentSince Jul 29, 2024 Accepting new patients
HDC Care Solutions, LLC Family CurrentSince Feb 10, 2025 Accepting new patients
Healthdrive Medical Services Southeast LLC Family CurrentSince Aug 1, 2025 Accepting new patients
Ipc Hospitalists of New England, P.C. Family Past Accepting new patients

Locations

100 Crossing Blvd
Ste 300
Framingham, MA 01702
Phone (857) 255-0486

37 State Highway 6A
Sandwich, MA 02563
Phone (508) 888-8222

101 Plantation St
Worcester, MA 01604
Phone (501) 604-3025

400 Park Ave
Huntington, NY 11743
Phone (631) 424-3787

1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650

300 Community Dr
Plandome, NY 11030

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": "1675987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1760189682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 PARK AVE",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 PARK AVE",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433751",
            "telephone_number": "631-424-3787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUR-KOHLI",
        "first_name": "MANEET",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-10",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "351269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

Verify at the official NPI Registry.