Individual provider Active NPI

Dania Codada, MSN, RN, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • East Elmhurst, NY
National Provider Identifier
1861882490
Registry record updated Apr 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
402539 Issued in NY
Practice address
1818 Hazen St
East Elmhurst, NY 11370-1383
Phone
(212) 442-3853
NPI assigned
Feb 4, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 69350 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 402539 NY Primary

Addresses

Primary practice location

1818 Hazen St
East Elmhurst, NY 11370-1383

Mailing address

36 Hilton Ave Apt 102
Hempstead, NY 11550-2116

Other practice location 1

263 Blue Point Ave
Blue Point, NY 11715-1224
Phone (516) 509-5841

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
I20240403000168 NY Practitioner - Nurse Practitioner 2961840434 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heart and Soul Community CounselingGroup PAC ID 1951644657, 8 clinicians

Practice addresses (Care Compare)

609 Route 109
Suite 1C
West Babylon, NY 11704-5072
Phone (631) 321-7011

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
69350NYMDRegistered Nurse
402539NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heart & Soul Community Counseling Psychiatric/Mental Health CurrentSince Mar 29, 2024 Accepting new patients
Monarch Psychiatric NP PLLC Psychiatric/Mental Health Past Accepting new patients

Locations

1400 Wantagh Ave
Ste L2
Wantagh, NY 11793
Phone (516) 559-0194

609 Route 109
Ste 1C
West Babylon, NY 11704
Phone (631) 321-7011

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1423008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554163200000",
    "number": "1861882490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 HILTON AVE APT 102",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115502116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 HAZEN ST",
            "city": "EAST ELMHURST",
            "state": "NY",
            "postal_code": "113701383",
            "telephone_number": "212-442-3853"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "263 Blue Point Ave",
            "address_purpose": "LOCATION",
            "city": "Blue Point",
            "state": "NY",
            "postal_code": "117151224",
            "country_code": "US",
            "telephone_number": "516-509-5841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CODADA",
        "first_name": "DANIA",
        "credential": "MSN, RN, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-04",
        "last_updated": "2019-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "69350",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "402539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Elmhurst, NY

Sources for this page

Verify at the official NPI Registry.