Active NPI
Nina Ricci Rendor
- Family Nurse Practitioner
- Cedarhurst, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 355209
- Practice address
- 144 Grove Ave Ste 3
Cedarhurst, NY 11516-2324 - Phone
- (516) 367-0687
- Fax
- (516) 200-0106
- NPI assigned
- Oct 1, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 355209 | NY | Primary |
Addresses
Primary practice location
144 Grove Ave Ste 3
Cedarhurst, NY 11516-2324
Mailing address
3272 Steinway St Ste 302
Astoria, NY 11103-4183
Phone (516) 367-0687
Other practice location 1
3272 Steinway St Ste 302
Astoria, NY 11103-4183
Phone (516) 367-0687
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, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
144 Grove Ave
Suite 3
Cedarhurst, NY 11516-2324
Phone (516) 367-0687
3272 Steinway St
Suite 302
Astoria, NY 11103-4183
Phone (516) 367-0687
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 355209 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kim Medical of New York PLLC | Current | Accepting new patients | |
| Horizon Care Family Health NP PLLC | Family | Current | Accepting new patients |
Locations
3272 Steinway St
Ste 302
Astoria, NY 11103
Phone (516) 367-0687
144 Grove Ave
Ste 3
Cedarhurst, NY 11516
Phone (516) 367-0687
255 Executive Dr
Ste 210B
Plainview, NY 11803
Phone (516) 687-9563
10 Maple St
Prt Washingtn, NY 11050
Phone (917) 746-5942
95 Franklin Ave
Valley Stream, NY 11580
Phone (516) 561-7171
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 3
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.
-
- Family Nurse Practitioner
- Astoria, NY
- NPI 1922893148
-
- Primary Care Clinic/Center
- Plainview, NY
- NPI 1770230039
-
- Rehabilitation Practitioner
- Brooklyn, NY
- NPI 1184878274
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773014400000",
"number": "1881412609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3272 STEINWAY ST STE 302",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111034183",
"telephone_number": "516-367-0687",
"fax_number": "516-200-0106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "144 GROVE AVE STE 3",
"city": "CEDARHURST",
"state": "NY",
"postal_code": "115162324",
"telephone_number": "516-367-0687",
"fax_number": "516-200-0106"
}
],
"practiceLocations": [
{
"address_1": "3272 Steinway St Ste 302",
"address_purpose": "LOCATION",
"city": "Astoria",
"state": "NY",
"postal_code": "111034183",
"country_code": "US",
"telephone_number": "516-367-0687",
"fax_number": "516-200-0106",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RENDOR",
"first_name": "NINA RICCI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-01",
"last_updated": "2026-03-09",
"certification_date": "2026-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "355209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cedarhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; 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.