Active NPI
Linda P Dillman, APRN-BC, GNP
- Gerontology Nurse Practitioner
- New York, NY
National Provider Identifier
1871649269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- F340016
- Practice address
- 99 Fort Washington Ave
New York, NY 10032-4655 - Phone
- (212) 342-2290
- Fax
- (212) 342-0200
- NPI assigned
- Jan 26, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | F340016 | NY | Primary |
| Gerontology Nurse Practitioner | 363LG0600X | 26NN10125000 | NJ |
Addresses
Primary practice location
99 Fort Washington Ave
New York, NY 10032-4655
Mailing address
E5 Contempra Cir
Tappan, NY 10983-2035
Phone (845) 365-1224
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00936907 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 54.26 of 100
- Quality
- 23.48
- Promoting interoperability
- 100
- Improvement activities
- 0
- Cost
- 69.26
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 340016 | NY | MD | Licensed Practical Nurse |
| F340016 | NY | MD | Gerontology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871649269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "E5 CONTEMPRA CIR",
"city": "TAPPAN",
"state": "NY",
"postal_code": "109832035",
"telephone_number": "845-365-1224",
"fax_number": "212-342-0200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 FORT WASHINGTON AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100324655",
"telephone_number": "212-342-2290",
"fax_number": "212-342-0200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DILLMAN",
"first_name": "LINDA",
"middle_name": "P",
"credential": "APRN-BC, GNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NY",
"license": "F340016",
"primary": true
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NJ",
"license": "26NN10125000",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00936907",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.