Individual provider Active NPI

Marta Konstantatos, RN

  • Registered Nurse
  • Rockville Centre, NY
National Provider Identifier
1801641345
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
893202 Issued in NY
Practice address
528 Merrick Rd Unit 65
Rockville Centre, NY 11570-5445
Phone
(516) 471-1438
NPI assigned
Apr 18, 2024
Last updated
Apr 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 893202 NY
Wound Care Registered Nurse 163WW0000X 893202 NY
Registered Nurse 163W00000X 893202 NY Primary

Addresses

Primary practice location

528 Merrick Rd Unit 65
Rockville Centre, NY 11570-5445

Mailing address

56 Misty Pond Cir Apt 15
Moriches, NY 11955-1124
Phone (516) 471-1438

Other practice location 1

56 Misty Pond Cir Apt 15
Moriches, NY 11955-1124
Phone (516) 471-1438

Other identifiers 1

IdentifierTypeStateIssuer
1699529925MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
893202NYMDWound Care Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
HH Medical Billing Services LLC Registered Nurse CurrentSince Apr 21, 2024 Accepting new patients

Locations

528 Merrick Rd
Rockville Centre, NY 11570
Phone (347) 755-2405

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1713398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1801641345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 MISTY POND CIR APT 15",
            "city": "MORICHES",
            "state": "NY",
            "postal_code": "119551124",
            "telephone_number": "516-471-1438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 MERRICK RD UNIT 65",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115705445",
            "telephone_number": "516-471-1438"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "56 Misty Pond Cir Apt 15",
            "address_purpose": "LOCATION",
            "city": "Moriches",
            "state": "NY",
            "postal_code": "119551124",
            "country_code": "US",
            "telephone_number": "516-471-1438",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KONSTANTATOS",
        "first_name": "MARTA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-18",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NY",
            "license": "893202",
            "primary": false
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "NY",
            "license": "893202",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "893202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699529925",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville Centre, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.