Bea Kay Marie Chan Pardillo, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F348959-01 Issued in NY

Practice address

6122G Fresh Pond Rd
Middle Village, NY 11379-1040

Phone

(718) 502-3000

NPI assigned

Jun 16, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Josef Schenker MD PCGroup PAC ID 8022335330, 57 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bea.kay.marie.pardillo.1@24989.direct.athenahealth.com

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.

• Josef Schenker MD PC

  dba Centers Urgent Care

  • Internal Medicine Physician
  • Middle Village, NY
  • NPI 1275936932
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1790415156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6122G FRESH POND RD",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113791040",
            "telephone_number": "718-502-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6122G FRESH POND RD",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113791040",
            "telephone_number": "718-502-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARDILLO",
        "first_name": "BEA KAY MARIE",
        "middle_name": "CHAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-16",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F348959-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PA Health Inc (Speedy Pharmacy)
• Pamela Pacheco
• Nicole Elizabeth Pagnotta
• Pain Relief RX Inc
• Julia Papale
• Heesun Park, LCAT
• Audrey Parraga, M.A. CCC-SLP
• Ariana Patane, PA
• Malay Patel, RPH
• Jenna Marie Patti

• Family Nurse Practitioner in Middle Village, NY
• Providers in Middle Village, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.