Individual provider Active NPI

Christine A Arkali, ANP

  • Adult Health Nurse Practitioner
  • Medford, NY
National Provider Identifier
1962717512
Registry record updated Aug 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
305484 Issued in NY
Practice address
76 Southaven Ave
Suite 5
Medford, NY 11763-3745
Phone
(631) 447-8860
Fax
(631) 447-8862
NPI assigned
Aug 6, 2010
Last updated
Aug 6, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2010

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 305484 NY Primary

Addresses

Primary practice location

76 Southaven Ave
Suite 5
Medford, NY 11763-3745

Mailing address

76 Southaven Ave
Suite 5
Medford, NY 11763-3745
Phone (631) 447-8860

Other names 1

  • Miss Christine A Baker Former name

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
I20121130000126 NY Practitioner - Nurse Practitioner 9537311345 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Medical Care of Bayshore, PCGroup PAC ID 8921143751, 3 clinicians
John T Mather Memorial HospitalGroup PAC ID 1254237753, shared by 6 NPIs, 176 clinicians

Practice addresses (Care Compare)

1745 Union Blvd
Bay Shore, NY 11706-7952
Phone (631) 328-5560

75 N Country Rd
Port Jefferson, NY 11777-2119
Phone (631) 473-1320

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
305484NYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John T. Mather Memorial Hospital CurrentSince Sep 1, 2020 Accepting new patients
South Island Medical Care PC CurrentSince Jul 20, 2012 Accepting new patients
John T Mather Memorial Hospital Current Accepting new patients
John T. Mather Memorial Hospital Current Accepting new patients
John T. Mather Memorial Hospital CurrentSince Sep 1, 2020 Accepting new patients
Family Medical Care of Bayshore, PC CurrentSince Jun 1, 2020 Accepting new patients
John T. Mather Memorial Hospital Current Accepting new patients
John T Mather Memorial Hospital Current Accepting new patients

Locations

1745 Union Blvd
Bay Shore, NY 11706
Phone (631) 328-5560

76 Southaven Ave
Ste 5
Medford, NY 11763
Phone (631) 447-8860

100 Highlands Blvd
#9
Port Jefferson, NY 11777
Phone (631) 686-7809

75 N Country Rd
Prt Jefferson, NY 11777
Phone (631) 463-1320

Networks

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

Interoperability endpoints

  • Direct secure messaging: carkali@fmcobp-ny.direct.office.nextgen.com
  • Direct secure messaging: christine.arkali.1@20167.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/20167/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1281052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281052800000",
    "number": "1962717512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 SOUTHAVEN AVE",
            "address_2": "SUITE 5",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117633745",
            "telephone_number": "631-447-8860",
            "fax_number": "631-447-8862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 SOUTHAVEN AVE",
            "address_2": "SUITE 5",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117633745",
            "telephone_number": "631-447-8860",
            "fax_number": "631-447-8862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARKALI",
        "first_name": "CHRISTINE",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-06",
        "last_updated": "2010-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "305484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "BAKER",
            "middle_name": "A",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Medford, NY

Sources for this page

Verify at the official NPI Registry.