Individual provider Active NPI

Kristyn Lynn Senzino, AGPCNP

  • Adult Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1962025015
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
309657 Issued in NY
Practice address
1305 York Ave
New York, NY 10021-5663
Phone
(646) 962-6444
Fax
(646) 962-1607
NPI assigned
May 23, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 309657 NY Primary

Addresses

Primary practice location

1305 York Ave
New York, NY 10021-5663

Mailing address

1305 York Ave
New York, NY 10021-5663
Phone (646) 962-6200

Other practice location 1

720 Monroe St Ste E407
Hoboken, NJ 07030-6356
Phone (201) 371-6858

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
I20230420002315 NY Practitioner - Nurse Practitioner 6901261254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Weill Medical College of CornellGroup PAC ID 6800709023, 2,023 clinicians

Practice addresses (Care Compare)

1305 York Ave
Suite 12
New York, NY 10021-5663
Phone (646) 962-6200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
309657NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Weill Medical College of Cornell CurrentSince Mar 6, 2023 Accepting new patients
Weill Medical College of Cornell CurrentSince Mar 6, 2023 Accepting new patients
Cornell University Medical College Past Accepting new patients

Locations

575 Lexington Ave
Rm 540
New York, NY 10022
Phone (646) 962-2543

525 E 68th St
New York, NY 10065
Phone (212) 746-2846

1305 York Ave
New York, NY 10021
Phone (646) 962-2020

525 E 68th St
#M
New York, NY 10065
Phone (212) 746-2850

1305 York Ave
Ste 12
New York, NY 10021
Phone (646) 962-6200

1305 York Ave
Fl 12
New York, NY 10021
Phone (646) 962-6200

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: swx9002@direct.nyp.org

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": "1590192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1962025015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 YORK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100215663",
            "telephone_number": "646-962-6200",
            "fax_number": "646-962-1607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 YORK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100215663",
            "telephone_number": "646-962-6444",
            "fax_number": "646-962-1607"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "720 Monroe St Ste E407",
            "address_purpose": "LOCATION",
            "city": "Hoboken",
            "state": "NJ",
            "postal_code": "070306356",
            "country_code": "US",
            "telephone_number": "201-371-6858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SENZINO",
        "first_name": "KRISTYN",
        "middle_name": "LYNN",
        "credential": "AGPCNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-23",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "309657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.