Individual provider Active NPI

Deenamarie Interdonati, FNP

  • Family Nurse Practitioner
  • Garden City, NY
National Provider Identifier
1831786375
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F344815-01 Issued in NY
Practice address
1401 Franklin Ave
Garden City, NY 11530-1613
Phone
(516) 877-2626
NPI assigned
Dec 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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 F344815-01 NY Primary

Addresses

Primary practice location

1401 Franklin Ave
Garden City, NY 11530-1613

Mailing address

2469 W 1St St
Brooklyn, NY 11223-5928
Phone (917) 476-1877

Other practice location 1

464 Bay Ridge Ave
Brooklyn, NY 11220-5906
Phone (718) 491-2003

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dinterdonati305047@nyumc.direct-ci.com

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
I20210105003100 NY Practitioner - Nurse Practitioner 6608289905 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians of University Hospital PCGroup PAC ID 5890877542, 58 clinicians

Practice addresses (Care Compare)

8012 3Rd Ave
Brooklyn, NY 11209-3802
Phone (718) 745-5600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F344815-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians of University Hospital, PC CurrentSince Apr 24, 2024 Accepting new patients
Physicians of University Hospital, PC CurrentSince Apr 24, 2024 Accepting new patients
New York University CurrentSince Jan 3, 2022 Accepting new patients
New York University CurrentSince Jan 3, 2022 Accepting new patients
464 Bay Ridge Medical PLLC PastSince Jan 1, 2021 Accepting new patients

Locations

8012 3rd Ave
Brooklyn, NY 11209
Phone (718) 491-5454

1401 Franklin Ave
Garden City, NY 11530
Phone (516) 541-0300

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

13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276

401 Seaview Ave
Lowr
Staten Island, NY 10305
Phone (718) 226-6186

1 Edgewater St
Fl 6
Staten Island, NY 10305
Phone (718) 226-1047

242 Mason Ave
Staten Island, NY 10305
Phone (718) 226-1458

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

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

Interoperability endpoints

  • Direct secure messaging: dinterdonati305047@nyumc.direct-ci.com
  • Direct secure messaging: dinterdonati61257@northwell.direct-ci.com

Organizations & group practices 5

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": "1609286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1831786375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2469 W 1ST ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112235928",
            "telephone_number": "917-476-1877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 FRANKLIN AVE",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115301613",
            "telephone_number": "516-877-2626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "464 Bay Ridge Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112205906",
            "country_code": "US",
            "telephone_number": "718-491-2003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "INTERDONATI",
        "first_name": "DEENAMARIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-30",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F344815-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dinterdonati305047@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "1401 Franklin Ave",
            "city": "Garden City",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115301613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

Verify at the official NPI Registry.