Individual provider Active NPI

Kaia Lee Dalamo, DNP, FNP

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1780248450
Registry record updated Sep 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
344338 Issued in NY
Practice address
530 1St Ave Ste 9Q
New York, NY 10016-6402
Phone
(212) 263-7225
NPI assigned
Apr 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2019

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 344338 NY Primary

Addresses

Primary practice location

530 1St Ave Ste 9Q
New York, NY 10016-6402

Mailing address

530 1St Ave Ste 9Q
New York, NY 10016-6402
Phone (212) 263-7225

Other practice location 1

530 1st Ave Ste 9Q
New York, NY 10016-6402
Phone (212) 263-7225

Other names 1

  • Kaia Lee Moe Former name

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
I20200129002970 NY Practitioner - Nurse Practitioner 4082040688 Reassigns benefits to 1 organization

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
Dysautonomia Center LLPGroup PAC ID 4880745843, 3 clinicians

Practice addresses (Care Compare)

530 1St Ave
Suite 9Q
New York, NY 10016-6402
Phone (212) 263-7225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dysautonomia Center LLP CurrentSince Dec 1, 2019 Accepting new patients
New York University Past Accepting new patients

Locations

530 1st Ave
#9Q
New York, NY 10016
Phone (212) 263-7225

530 1st Ave
Ste 9Q
New York, NY 10016
Phone (212) 263-7225

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": "1556323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567728000000",
    "number": "1780248450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 1ST AVE STE 9Q",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166402",
            "telephone_number": "212-263-7225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 1ST AVE STE 9Q",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166402",
            "telephone_number": "212-263-7225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "530 1st Ave Ste 9Q",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100166402",
            "country_code": "US",
            "telephone_number": "212-263-7225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DALAMO",
        "first_name": "KAIA",
        "middle_name": "LEE",
        "credential": "DNP, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-27",
        "last_updated": "2019-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "344338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAIA",
            "last_name": "MOE",
            "middle_name": "LEE",
            "credential": "BSN, RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.