Kevin Hugh Padberg, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

F400480 Issued in NY

Practice address

15 Horseblock PL
Farmingville, NY 11738-1204

Phone

(631) 854-2552

NPI assigned

Aug 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• County of Suffolk

  • Clinic/Center
  • Brentwood, NY
  • NPI 1851321152
  NPD (past)
• New York Diagnostic Center Inc.

  • Clinic/Center
  • New York, NY
  • NPI 1235102450
  NPD (past)
• New York Diagnostic Centers, Inc.

  • Internal Medicine Physician
  • Westhampton Beach, NY
  • NPI 1881610186
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220400000000",
    "number": "1962412205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 NORTHRIDGE CIR",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117435366",
            "telephone_number": "631-367-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 HORSEBLOCK PL",
            "city": "FARMINGVILLE",
            "state": "NY",
            "postal_code": "117381204",
            "telephone_number": "631-854-2552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADBERG",
        "first_name": "KEVIN",
        "middle_name": "HUGH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2008-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F400480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abimbola Ojurongbe
• Catharine Denise Oliveri-Guiliano, PTA
• Danielle Christina Ormsby, LMT
• Greg L Ortenberg, DDS
• Jessica Iris Pabon, LPN
• Karyn Pagano, P.A.
• Carol Ann Paracat, LPN
• James Parisi
• Maryann Elizabeth Parrish, R.N.
• Rachna Patel, DPT

• Psychiatric/Mental Health Nurse Practitioner in Farmingville, NY
• Providers in Farmingville, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.