Individual provider Active NPI

Maria Ines Ortiz

  • Family Nurse Practitioner
  • Far Rockaway, NY
National Provider Identifier
1801463849
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F347685 Issued in NY
Practice address
1612 Central Ave Ste 201
Far Rockaway, NY 11691-4002
Phone
(718) 970-8700
Fax
(718) 860-6434
NPI assigned
Jun 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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 F347685 NY Primary

Addresses

Primary practice location

1612 Central Ave Ste 201
Far Rockaway, NY 11691-4002

Mailing address

1612 Central Ave Ste 201
Far Rockaway, NY 11691-4002
Phone (718) 970-8700

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
I20250811002627 NY Practitioner - Nurse Practitioner 5092213868 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Suffolk Primary Health LLCGroup PAC ID 9436420510, 46 clinicians

Practice addresses (Care Compare)

170 Old Country Rd
Riverhead, NY 11901-2198
Phone (631) 208-4460

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F347685NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vantage Medical Associates NJ PC CurrentSince May 23, 2025 Accepting new patients
Suffolk Primary Health, LLC CurrentSince Jan 1, 2026 Accepting new patients
Vantage Medical Associates PC CurrentSince May 23, 2025 Accepting new patients

Locations

5308 13th Ave
Ste 334
Brooklyn, NY 11219

1612 Central Ave
Ste 201
Far Rockaway, NY 11691
Phone (516) 792-1600

170 Old Country Rd
Riverhead, NY 11901
Phone (631) 208-4460

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IFCJCD

Organizations & group practices 3

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": "1623110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1801463849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 CENTRAL AVE STE 201",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116914002",
            "telephone_number": "718-970-8700",
            "fax_number": "718-860-6434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 CENTRAL AVE STE 201",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116914002",
            "telephone_number": "718-970-8700",
            "fax_number": "718-860-6434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "MARIA",
        "middle_name": "INES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-08",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F347685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Far Rockaway, NY

Sources for this page

Verify at the official NPI Registry.