Individual provider Active NPI

Bridget Lucille Coccaro, MSN, FNP

  • Family Nurse Practitioner
  • Yorktown Heights, NY
National Provider Identifier
1841619558
Registry record updated Nov 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
338636 Issued in NY
Practice address
1838 Commerce St
Yorktown Heights, NY 10598-4400
Phone
(914) 962-3500
Fax
(914) 245-7875
NPI assigned
Apr 9, 2014
Last updated
Nov 12, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 338636 NY Primary
Critical Care Medicine Registered Nurse 163WC0200X 527175 NY

Addresses

Primary practice location

1838 Commerce St
Yorktown Heights, NY 10598-4400

Mailing address

60 Goldens Bridge Rd
Katonah, NY 10536-3447
Phone (914) 232-1919

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
I20141219001056 NY Practitioner - Nurse Practitioner 7113240342 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nysarc, Inc Ulster, Greene, Putnam Counties ChapterGroup PAC ID 2466543764, 10 clinicians

Practice addresses (Care Compare)

139 Cornell St
Kingston, NY 12401-3633
Phone (845) 331-4300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
527175NYMDCritical Care Medicine Registered Nurse
338636NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nysarc Inc. Ulster, Greene, Putnam Counties Chapter CurrentSince May 1, 2019 Accepting new patients
Hudson Valley Health Specialties, Inc PastSince May 1, 2019 Accepting new patients

Locations

139 Cornell St
Kingston, NY 12401
Phone (845) 331-4300

471 Albany Ave
Kingston, NY 12401
Phone (845) 331-4300

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1397001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415750400000",
    "number": "1841619558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 GOLDENS BRIDGE RD",
            "city": "KATONAH",
            "state": "NY",
            "postal_code": "105363447",
            "telephone_number": "914-232-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1838 COMMERCE ST",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105984400",
            "telephone_number": "914-962-3500",
            "fax_number": "914-245-7875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCCARO",
        "first_name": "BRIDGET",
        "middle_name": "LUCILLE",
        "name_prefix": "Mrs.",
        "credential": "MSN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-09",
        "last_updated": "2014-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "338636",
            "primary": true
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "NY",
            "license": "527175",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorktown Heights, NY

Sources for this page

Verify at the official NPI Registry.