Kristen Noel Dileo, NP
Individual provider Active NPI Nurse Practitioner · Deer Park, NY
NPI 1992214035 · NPPES record last updated Sep 20, 2017
Key facts
- NPI
- 1992214035
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- F308299-1 (NY)
- Practice address
- 1920 Deer Park Ave Ste 104
Deer Park, NY 11729-3314 - Phone
- (631) 392-1680
- NPI assigned
- Sep 20, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- State University of New York at Stony Brook, School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Samaritan Medical Services PC
St Francis Hospital
Practice addresses (Care Compare)
1000 Montauk Hwy
West Islip, NY 11795-4927
Phone (516) 705-2689
540 Union Blvd
West Islip, NY 11795-3105
Phone (631) 669-2255
Hospital & facility affiliations
- Good Samaritan Hospital Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171207002038 | NY | Practitioner - Nurse Practitioner | 3971860487 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F308299-1 | NY | MD | Nurse Practitioner |
Practice roles (6 of 10)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samaritan Medical Services, P.C. | Current |
Accepting new patients | |
| New York University | Current |
Accepting new patients | |
| St. Francis Hospital | Current |
Accepting new patients | |
| St. Francis Hospital | Current |
Accepting new patients | |
| New York University | Current |
Accepting new patients | |
| St Francis Hospital United States Catholic Conference | Past | Accepting new patients |
Locations
1920 Deer Park Ave
Ste 104
Deer Park, NY 11729
Phone (631) 392-1680
340 W Park Ave
Long Beach, NY 11561
Phone (516) 431-5064
245 Old Country Rd
Melville, NY 11747
Phone (631) 465-6141
2478 Jerusalem Ave
North Bellmore, NY 11710
Phone (516) 317-1681
1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689
540 Union Blvd
West Islip, NY 11795
Phone (631) 669-2555
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | F308299-1 | NY | Yes |
Addresses
Primary practice location
1920 Deer Park Ave Ste 104
Deer Park, NY 11729-3314
Mailing address
51 Admirals Dr E
Bay Shore, NY 11706-8100
Other providers in Deer Park, NY
- Tasha Dhawan
- Kristin Diamandis
- Erika Diaz
- Joseph Dic
- Robert Nicholas Digiovanna
- Francine Pierna Dimaria
- Maricris G Diola
- Joann Doherty
- Dolce Billing and Corporate Services, Inc.
- Nia Alyssa Donawa
All providers in Deer Park, NY · Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 20, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.