Individual provider Active NPI

Gina Marie Holzapfel, NP

  • Pediatric Nurse Practitioner
  • East Setauket, NY
National Provider Identifier
1790348274
Registry record updated Jul 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
F382933-1 Issued in NY
Practice address
181 N Belle Mead Rd
East Setauket, NY 11733-3495
Phone
(631) 444-2599
NPI assigned
Apr 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X F382933-1 NY Primary

Addresses

Primary practice location

181 N Belle Mead Rd
East Setauket, NY 11733-3495

Mailing address

25 Richmond Blvd Unit 2B
Ronkonkoma, NY 11779-3670
Phone (631) 827-2564

Other names 1

  • Gina Marie Magioncalda 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
I20190802002587 NY Practitioner - Nurse Practitioner 5698002319 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F382933-1NYMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology Associates of Stony Brook, University Faculty Practice Corpo CurrentSince Sep 19, 2022 Accepting new patients
Timothy Hill Children'S Ranch, Inc. PastSince Jul 1, 2021 Accepting new patients

Locations

500 Commack Rd
Ste 201
Commack, NY 11725
Phone (631) 638-0597

181 N Belle Mead Rd
Ste 6
East Setauket, NY 11733
Phone (516) 324-7500

225 W Montauk Hwy
Hampton Bays, NY 11946
Phone (631) 723-2316

2701 Sunrise Hwy
Islip Terrace, NY 11752
Phone (631) 444-6300

4 Smith Haven Mall
Ste 105
Lake Grove, NY 11755

181 N Belle Mead Rd
Setauket, NY 11733
Phone (631) 444-0624

100 Nicolls Rd
Stony Brook, NY 11794
Phone (631) 444-1560

Networks

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

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": "1555632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688428800000",
    "number": "1790348274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 RICHMOND BLVD UNIT 2B",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117793670",
            "telephone_number": "631-827-2564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 N BELLE MEAD RD",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117333495",
            "telephone_number": "631-444-2599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLZAPFEL",
        "first_name": "GINA",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-19",
        "last_updated": "2023-07-04",
        "certification_date": "2023-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "F382933-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINA",
            "last_name": "MAGIONCALDA",
            "middle_name": "MARIE",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in East Setauket, NY

Sources for this page

Verify at the official NPI Registry.