Individual provider Active NPI

Christine Kadien, NP

  • Adult Health Nurse Practitioner
  • Riverhead, NY
National Provider Identifier
1790450898
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
310315 Issued in NY
Practice address
1228 E Main St Ste C
Riverhead, NY 11901-2677
Phone
(631) 603-3400
Fax
(631) 603-3401
NPI assigned
Aug 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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 310315 NY Primary

Addresses

Primary practice location

1228 E Main St Ste C
Riverhead, NY 11901-2677

Mailing address

1 E Roe Blvd
Patchogue, NY 11772-2631
Phone (631) 625-7210

Other practice location 1

1 E Roe Blvd
Patchogue, NY 11772-2631
Phone (631) 475-3900

Other practice location 2

765 Route 25A Ste 6
Miller Place, NY 11764-2649
Phone (631) 320-3200

Other practice location 3

266 Middle Country Rd
Coram, NY 11727-4425
Phone (631) 698-1111

Other identifiers 1

IdentifierTypeStateIssuer
07195724MedicaidNY

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
I20220208001895 NY Practitioner - Nurse Practitioner 0648663070 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caremed Primary and Urgent Care PCGroup PAC ID 8224353727, 21 clinicians

Practice addresses (Care Compare)

1228 E Main St
Suite C
Riverhead, NY 11901-2677
Phone (631) 603-3400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
310315NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Caremed Primary and Urgent Care PC Nurse Practitioner CurrentSince Feb 24, 2022 Accepting new patients
Island Urgent Medical Care, P.C. PastSince Feb 24, 2022 Accepting new patients

Locations

266 Middle Country Rd
Coram, NY 11727
Phone (631) 475-3900

765 Route 25A
Ste 6
Miller Place, NY 11764
Phone (631) 320-3200

1 E Roe Blvd
Patchogue, NY 11772
Phone (631) 475-3900

1228 E Main St
Ste C
Riverhead, NY 11901
Phone (631) 603-3400

Networks

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

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": "1628640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1790450898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 E ROE BLVD",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722631",
            "telephone_number": "631-625-7210",
            "fax_number": "631-475-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1228 E MAIN ST STE C",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012677",
            "telephone_number": "631-603-3400",
            "fax_number": "631-603-3401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 E Roe Blvd",
            "address_purpose": "LOCATION",
            "city": "Patchogue",
            "state": "NY",
            "postal_code": "117722631",
            "country_code": "US",
            "telephone_number": "631-475-3900",
            "fax_number": "314-755-1666",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "765 Route 25A Ste 6",
            "address_purpose": "LOCATION",
            "city": "Miller Place",
            "state": "NY",
            "postal_code": "117642649",
            "country_code": "US",
            "telephone_number": "631-320-3200",
            "fax_number": "631-350-7798",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "266 Middle Country Rd",
            "address_purpose": "LOCATION",
            "city": "Coram",
            "state": "NY",
            "postal_code": "117274425",
            "country_code": "US",
            "telephone_number": "631-698-1111",
            "fax_number": "631-698-1195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KADIEN",
        "first_name": "CHRISTINE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-11",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "310315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07195724",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverhead, NY

Sources for this page

Verify at the official NPI Registry.