Individual provider Active NPI

Nina Ricci Rendor

  • Family Nurse Practitioner
  • Cedarhurst, NY
National Provider Identifier
1881412609
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
355209 Issued in NY
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

Updated by the provider on Mar 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250218003175 NY Practitioner - Nurse Practitioner 8729508932 Reassigns benefits to 3 organizations
Practice locations: Valley Stream, NY

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

LicenseStateTypeSpecialty
355209NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kim Medical of New York PLLC CurrentSince Apr 9, 2025 Accepting new patients
Horizon Care Family Health NP PLLC Family CurrentSince Apr 1, 2025 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.

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

Verify at the official NPI Registry.