Active NPI
Virginia Ott, MSN, ONC, NP-C
- Adult Health Nurse Practitioner
- Woodbury, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- F305006-1
- Practice address
- 40 Crossways Park Dr
Suite 103
Woodbury, NY 11797-2036 - Phone
- (516) 921-5533
- Fax
- (516) 364-4080
- NPI assigned
- Dec 11, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | F305006-1 | NY | Primary |
Addresses
Primary practice location
40 Crossways Park Dr
Suite 103
Woodbury, NY 11797-2036
Mailing address
1765 Merikoke Avenue
Suite 103
Wantagh, NY 11793
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2200 Northern Blvd
Suite 112
Greenvale, NY 11548-1220
Phone (516) 484-6777
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 305006 | NY | MD | Nephrology Physician |
| F305006-1 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CHS Physician Partners, P.C | Current | Accepting new patients | |
| CHS Physician Partners, PC | Current | Accepting new patients |
Locations
24 E Main St
Bay Shore, NY 11706
Phone (613) 666-6752
2200 Northern Blvd
Ste 111
Greenvale, NY 11548
Phone (516) 325-7500
2200 Northern Blvd
Ste 112
Greenvale, NY 11548
Phone (516) 484-6777
245 Old Country Rd
Melville, NY 11747
Phone (631) 465-6141
1500 Route 112
Bldg 4
Port Jefferson Station, NY 11776
Phone (631) 574-8354
1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012
100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800
48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3540
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
Interoperability endpoints
- vott13746@direct-chsli.net
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.
-
dba Cardiac Interventional Group
- Interventional Cardiology Physician
- Fresh Meadows, NY
- NPI 1407089345
-
- Cardiovascular Disease Physician
- Roslyn, NY
- NPI 1164585725
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Roslyn, NY
- NPI 1043279565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502668800000",
"number": "1851536320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1765 MERIKOKE AVENUE",
"address_2": "SUITE 103",
"city": "WANTAGH",
"state": "NY",
"postal_code": "11793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 CROSSWAYS PARK DR",
"address_2": "SUITE 103",
"city": "WOODBURY",
"state": "NY",
"postal_code": "117972036",
"telephone_number": "516-921-5533",
"fax_number": "516-364-4080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTT",
"first_name": "VIRGINIA",
"credential": "MSN, ONC, NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-11",
"last_updated": "2017-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F305006-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodbury, NY
- Optic Masters, Inc
- Optics Plus Opticians, Inc.
- Orlin and Cohen Orthopedic Associates, LLP
- Orthopaedic and Sports Associates of Long Island, PC
- Stacy M Oster, OCCUPATIONAL THERAPI
- Owen McCrudden DPM, PC
- Stuart Pace, PH.D.
- James Michael Paci, M.D.
- Palliative Care Medical Services PC
- Frank Jeffrey Palmaccio, D.D.S, M.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.