Individual provider Active NPI

Paulina Pilar Maldonado, ANP-BC

  • Adult Health Nurse Practitioner
  • Long Island City, NY
National Provider Identifier
1760810840
Registry record updated Jul 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F306231-1 Issued in NY
Practice address
3636 33Rd St Ste 311
Long Island City, NY 11106-2329
Phone
(718) 704-5376
NPI assigned
Oct 28, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F306231-1 NY Primary

Addresses

Primary practice location

3636 33Rd St Ste 311
Long Island City, NY 11106-2329

Mailing address

3636 33Rd St Ste 311
Long Island City, NY 11106-2329
Phone (718) 704-5376

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
I20151222000457 NY Practitioner - Nurse Practitioner 5395046015 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endocrine Associate of West Village PCGroup PAC ID 7113102591, 12 clinicians

Practice addresses (Care Compare)

160 E 32ND St
New York, NY 10016-6004
Phone (212) 675-9332

3016 30TH Dr
Astoria, NY 11102-1874
Phone (917) 755-2007

3636 33Rd St
Suite 311
Long Island City, NY 11106-2329
Phone (212) 675-9332

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F306231-1NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Faculty Practice Plan CurrentSince Oct 18, 2015 Accepting new patients
Houston Medical Consulting PC CurrentSince Oct 1, 2016 Accepting new patients
Endocrine Associate of West Village PC CurrentSince Jul 1, 2019 Accepting new patients

Locations

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

3016 30th Dr
Long Island City, NY 11102
Phone (718) 728-3376

3636 33rd St
Ste 311
Long Island City, NY 11106
Phone (212) 604-9800

214 W Houston St
New York, NY 10014
Phone (212) 337-9400

160 E 32nd St
New York, NY 10016
Phone (212) 263-5940

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.

NPI Registry JSON

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

{
    "created_epoch": "1382918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562544000000",
    "number": "1760810840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3636 33RD ST STE 311",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111062329",
            "telephone_number": "718-704-5376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 33RD ST STE 311",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111062329",
            "telephone_number": "718-704-5376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALDONADO",
        "first_name": "PAULINA",
        "middle_name": "PILAR",
        "credential": "ANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-28",
        "last_updated": "2019-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F306231-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Island City, NY

Sources for this page

Verify at the official NPI Registry.