Individual provider Active NPI

Nathalie Pardovani

  • Family Nurse Practitioner
  • Ronkonkoma, NY
National Provider Identifier
1912798539
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F356163-01 Issued in NY
Practice address
28 Lakeside Dr
Ronkonkoma, NY 11779-1950
Phone
(516) 567-3698
NPI assigned
May 14, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2025

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 F356163-01 NY Primary

Addresses

Primary practice location

28 Lakeside Dr
Ronkonkoma, NY 11779-1950

Mailing address

28 Lakeside Dr
Ronkonkoma, NY 11779-1950

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
I20260425000301 NY Practitioner - Nurse Practitioner 3678040821 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Expert Medical Services LLCGroup PAC ID 4284651738, 41 clinicians

Practice addresses (Care Compare)

33 Manors Dr
Jericho, NY 11753-1729
Phone 7182767935800

35 N Tyson Ave
Suite 100
Floral Park, NY 11001-1403
Phone (718) 276-7935

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F356163-01NYMDFamily Nurse Practitioner

Organizations & group practices 1

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": "1747180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1912798539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 LAKESIDE DR",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117791950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 LAKESIDE DR",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117791950",
            "telephone_number": "516-567-3698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARDOVANI",
        "first_name": "NATHALIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-14",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F356163-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ronkonkoma, NY

Sources for this page

Verify at the official NPI Registry.