Individual provider Active NPI

Irina Kats, NP-C

  • Gerontology Nurse Practitioner
  • Staten Island, NY
National Provider Identifier
1780034603
Registry record updated Jun 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
F307452-1 Issued in NY
Practice address
156 Jackson Ave
Staten Island, NY 10305-4740
Phone
(347) 601-0492
NPI assigned
Jun 22, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2016

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 F307452-1 NY Primary

Addresses

Primary practice location

156 Jackson Ave
Staten Island, NY 10305-4740

Mailing address

156 Jackson Ave
Staten Island, NY 10305-4740
Phone (347) 601-0492

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
I20160827000305 NY Practitioner - Nurse Practitioner 3375838485 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F307452-1NYMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Weill Medical College of Cornell CurrentSince Aug 15, 2016 Accepting new patients
Weill Medical College of Cornell CurrentSince Aug 15, 2016 Accepting new patients

Locations

525 E 68th St
#94
New York, NY 10065
Phone (212) 746-5361

156 William St
New York, NY 10038
Phone (646) 962-4679

Networks

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

Interoperability endpoints

  • Direct secure messaging: irk9022@direct.nyp.org

Organizations & group practices 2

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": "1466553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466553600000",
    "number": "1780034603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 JACKSON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103054740",
            "telephone_number": "347-601-0492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 JACKSON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103054740",
            "telephone_number": "347-601-0492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATS",
        "first_name": "IRINA",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-22",
        "last_updated": "2016-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NY",
            "license": "F307452-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.