Individual provider Active NPI

Carl Salera Gastanes, NP

  • Primary Care Nurse Practitioner
  • New York, NY
National Provider Identifier
1821581141
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
F342291-1 Issued in NY
Practice address
530 1St Ave
New York, NY 10016-6402
Phone
(718) 838-0792
NPI assigned
Jun 11, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X F342291-1 NY Primary
Primary Care Nurse Practitioner 363LP2300X 13694 CT

Addresses

Primary practice location

530 1St Ave
New York, NY 10016-6402

Mailing address

953 Southern Blvd RM 202
Bronx, NY 10459-3428
Phone (718) 589-4541

Other practice location 1

953 Southern Blvd Rm 202
Bronx, NY 10459-3428
Phone (718) 589-4541

Other practice location 2

385 W Main St
Avon, CT 06001-4357
Phone (860) 777-1280

Other names 1

  • Mr. Jenefer Carlito Salera Gastanes Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cgastanes309366@nyumc.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT, NJ3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20181031001257 NY Practitioner - Nurse Practitioner 8921351438 Reassigns benefits to 6 organizations
I20241004000114 CT Practitioner - Nurse Practitioner 8921351438 Reassigns benefits to 1 organization
I20260611001682 NJ Practitioner - Nurse Practitioner 8921351438 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Am PM Walk in Urgent Care ClinicGroup PAC ID 5092954602, 79 clinicians
Modern Physician Services PCGroup PAC ID 6204140544, 55 clinicians
Hartford Healthcare Urgent Care Centers LLCGroup PAC ID 7618242777, 201 clinicians
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

19 S Washington Ave
Bergenfield, NJ 07621-2324
Phone (201) 387-0177

2 Journal Square PLZ
Suite a
Jersey City, NJ 07306-4001
Phone (551) 325-2333

3733 82ND St
Jackson Heights, NY 11372-7031
Phone (646) 604-8190

385 W Main St
Avon, CT 06001-4357
Phone (860) 777-6977

550 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300

587 Cedar Lane
Teaneck, NJ 07666-1701
Phone (201) 387-0177

6721 Fresh Pond Rd
Ridgewood, NY 11385-4562
Phone (929) 468-9920

68 Graham Ave
Brooklyn, NY 11206-4017
Phone (646) 604-8130

7405 Bergenline Ave
North Bergen, NJ 07047-5438
Phone (201) 636-6763

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

Merit-based Incentive Payment System (MIPS)

Final score
81.78 of 100Reported as group
Quality
85.61
Promoting interoperability
100
Improvement activities
40
Cost
46.45

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13694CTMDPrimary Care Nurse Practitioner
F342291-1NYMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of New York, PLLC Multi-Specialty CurrentSince Jun 1, 2022 Accepting new patients
Vail Healthcare Medical PLLC Multi-Specialty CurrentSince Sep 9, 2018 Accepting new patients
North Shore-Lij Medical PC Multi-Specialty CurrentSince Feb 11, 2020 Accepting new patients
Jamaica Hospital Multi-Specialty CurrentSince Apr 1, 2022 Accepting new patients
Modern Physician Services PC Multi-Specialty CurrentSince Oct 18, 2025 Accepting new patients
New York University Multi-Specialty CurrentSince Sep 1, 2019 Accepting new patients
Hartford Healthcare Urgent Care Centers, LLC Multi-Specialty CurrentSince Oct 15, 2024 Accepting new patients
Jamaica Hospital CurrentSince Apr 1, 2022 Accepting new patients
New York University Multi-Specialty CurrentSince Sep 1, 2019 Accepting new patients

Locations

385 W Main St
Avon, CT 06001
Phone (860) 777-1280

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

2475 Saint Raymonds Ave
Bronx, NY 10461
Phone (718) 430-7300

953 Southern Blvd
Rm 202
Bronx, NY 10459
Phone (718) 589-4541

68 Graham Ave
Brooklyn, NY 11206
Phone (646) 604-8120

565 Abbott Rd
Rm 8632
Buffalo, NY 14220
Phone (607) 798-5671

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

300 Community Dr
Manhasset, NY 11030

80 Marcus Dr
Melville, NY 11747
Phone (631) 391-7889

12 N 7th Ave
Mount Vernon, NY 10550
Phone (914) 361-6511

550 1st Ave
New York, NY 10016
Phone (212) 263-3293

85 Broad St
Fl 18
New York, NY 10004
Phone (617) 750-2464

530 1st Ave
New York, NY 10016
Phone (212) 263-7216

160 E Main St
Port Jervis, NY 12771
Phone (845) 856-7000

8900 Van Wyck Expy
Richmond Hill, NY 11418
Phone (718) 206-6088

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

Networks

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

Interoperability endpoints

  • Direct secure messaging: carl.gastanes@xdr.hhchealthdirect.org
  • Direct secure messaging: cgastanes309366@nyumc.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/CHFABD

Organizations & group practices 10

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1821581141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "953 SOUTHERN BLVD RM 202",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104593428",
            "telephone_number": "718-589-4541",
            "fax_number": "718-893-8511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 1ST AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166402",
            "telephone_number": "718-838-0792"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "953 Southern Blvd Rm 202",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104593428",
            "country_code": "US",
            "telephone_number": "718-589-4541",
            "fax_number": "718-893-8511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "385 W Main St",
            "address_purpose": "LOCATION",
            "city": "Avon",
            "state": "CT",
            "postal_code": "060014357",
            "country_code": "US",
            "telephone_number": "860-777-1280",
            "fax_number": "860-777-1276",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GASTANES",
        "first_name": "CARL",
        "middle_name": "SALERA",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-11",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NY",
            "license": "F342291-1",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CT",
            "license": "13694",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cgastanes309366@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "530 1st Ave",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100166402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JENEFER CARLITO",
            "last_name": "GASTANES",
            "middle_name": "SALERA",
            "prefix": "MR.",
            "credential": "RN, BSN, MSN, FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.