Active NPI
J Kristine Rendal-Sattem, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 403819-01
- Practice address
- 1775 Grand Concourse
Bronx, NY 10453-8202 - Phone
- (212) 665-1860
- Fax
- (718) 294-4034
- NPI assigned
- Jan 7, 2021
- Last updated
- Jun 3, 2022
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 403819-01 | NY | Primary |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 618249 | NY |
Addresses
Primary practice location
1775 Grand Concourse
Bronx, NY 10453-8202
Mailing address
1775 Grand Concourse
Bronx, NY 10453-8202
Phone (212) 665-1860
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | BRONX | Health Information Exchange (HIE) |
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, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
510 Hempstead Tpke
RM 203
West Hempstead, NY 11552-1152
Phone (516) 505-7200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 618249 | NY | MD | Psychiatric/Mental Health Registered Nurse |
| 403819-01 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aldad Medical PC | Current | Accepting new patients |
Locations
27111 76th Ave
North New Hyde Pk, NY 11040
Phone (718) 289-2100
510 Hempstead Tpke
Rm 203
West Hempstead, NY 11552
Phone 51650572001051
15715 19th Ave
Whitestone, NY 11357
Phone (718) 559-0580
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654214400000",
"number": "1922696681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1775 GRAND CONCOURSE",
"city": "BRONX",
"state": "NY",
"postal_code": "104538202",
"telephone_number": "212-665-1860",
"fax_number": "718-294-4034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1775 GRAND CONCOURSE",
"city": "BRONX",
"state": "NY",
"postal_code": "104538202",
"telephone_number": "212-665-1860",
"fax_number": "718-294-4034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENDAL-SATTEM",
"first_name": "J KRISTINE",
"credential": "PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-07",
"last_updated": "2022-06-03",
"certification_date": "2022-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "403819-01",
"primary": true
},
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "NY",
"license": "618249",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "BRONX",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "BRONX",
"address_1": "1775 Grand Concourse",
"city": "Bronx",
"state": "NY",
"country_code": "US",
"postal_code": "104538202",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; 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.