Active NPI
Erik P Mortensen, NP
- Adult Health Nurse Practitioner
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- F304475
- Practice address
- 352 7TH Ave
RM 1205
New York, NY 10001-5411 - Phone
- (212) 627-7560
- Fax
- (212) 627-7563
- NPI assigned
- Sep 15, 2008
- Sex
- Male
- 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 | F304475 | NY | Primary |
Addresses
Primary practice location
352 7TH Ave
RM 1205
New York, NY 10001-5411
Mailing address
8390 Champions Gate Blvd
Ste 215
Champions Gate, FL 33896-8310
Phone (321) 401-1364
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, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
352 7TH Ave
RM 1205
New York, NY 10001-5411
Phone (212) 627-7560
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.17 of 100
- Quality
- 81.41
- Improvement activities
- 40
- Cost
- 73.11
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 304475 | NY | MD | Orthopaedic Surgery Physician |
| F304475 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MVP Medical Practice PC | Current | Accepting new patients | |
| Ajs Brookyln Medical Practice PC | Current | Accepting new patients | |
| Ajs Brooklyn Medical Practice PC | Current | Accepting new patients |
Locations
8390 Champions Gate Blvd
Ste 215
Champions Gate, FL 33896
Phone (407) 479-2013
475 Atlantic Ave
Ste 2
Brooklyn, NY 11217
Phone (718) 369-4850
16121 Jamaica Ave
Fl 7
Jamaica, NY 11432
Phone (718) 896-2500
30 W 60th St
Apt An
New York, NY 10023
Phone (212) 247-6575
365 W 28th St
#A
New York, NY 10001
Phone (212) 284-0060
352 7th Ave
Rm 1205
New York, NY 10001
Phone (212) 627-7560
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Interoperability endpoints
- erik.mortensen.1@26356.direct.athenahealth.com
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.
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- Infectious Disease Physician
- Brooklyn, NY
- NPI 1912541061
-
- Clinic/Center
- Brooklyn, NY
- NPI 1558707299
-
- Clinic/Center
- New York, NY
- NPI 1235680091
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484697600000",
"number": "1902055965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8390 CHAMPIONS GATE BLVD",
"address_2": "STE 215",
"city": "CHAMPIONS GATE",
"state": "FL",
"postal_code": "338968310",
"telephone_number": "321-401-1364",
"fax_number": "407-390-1765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "352 7TH AVE",
"address_2": "RM 1205",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100015411",
"telephone_number": "212-627-7560",
"fax_number": "212-627-7563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORTENSEN",
"first_name": "ERIK",
"middle_name": "P",
"name_prefix": "Mr.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-15",
"last_updated": "2017-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F304475",
"primary": true
}
],
"identifiers": [],
"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 Jan 18, 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.