JOHANNA BEATRIZ MEDINA NP
NPI 1366189540
Transplant Surgery in Manhasset, NY

Active since May 18, 2022PECOS EnrolledAccepts Medicare Assignment
400 COMMUNITY DR, MANHASSET, NY 11030(516) 472-5800(516) 472-5805 Get Directions Write a Review

NPPES record last updated: May 18, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Johanna Beatriz Medina Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHANNA BEATRIZ MEDINA NP (NPI 1366189540) is an individual transplant surgery provider in Manhasset, New York, licensed in New York (349364) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1366189540
Entity TypeIndividualFemale
Primary Taxonomy204F00000X
Provider Legal NameJOHANNA BEATRIZ MEDINACredential: NP
Location Address400 COMMUNITY DRManhasset, NY 11030-3815
Mailing Address1243 Bretton RdValley Stream, NY 11580-1421 · (718) 551-6297
Fax(516) 472-5805
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMay 18, 2022
NPPES CertifiedMay 18, 2022
NPI 1366189540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyTransplant SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204F00000X
License Licensed in NY · 349364
Definition
A surgeon who specializes in transplant surgery. Source: National Uniform Claim Committee
400 COMMUNITY DR, Manhasset, NY 11030

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Johanna Beatriz Medina Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7719369552
PECOS Enrollment IDI20220727000173
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
400 COMMUNITY DR
MANHASSET, NY 11030
Nurse Practitioner (Adult Health)
400 COMMUNITY DR
MANHASSET, NY 11030
Student in an Organized Health Care Education/Training Program
400 COMMUNITY DR, NORTHWELL HEALTH, NSLIJ, DEPT. OF DENTAL MEDICINE
MANHASSET, NY 11030
Psychologist (Psychoanalysis)
400 COMMUNITY DR
MANHASSET, NY 11030
Internal Medicine (Transplant Hepatology)
400 COMMUNITY DR
MANHASSET, NY 11030
Dietitian, Registered
400 COMMUNITY DR
MANHASSET, NY 11030
Dentist (General Practice)
400 COMMUNITY DR
MANHASSET, NY 11030
Clinical Neuropsychologist
400 COMMUNITY DR
MANHASSET, NY 11030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Johanna Medina's NPI number?

The NPI number for Johanna Medina is 1366189540. It was assigned to this individual provider in the NPPES registry on May 18, 2022.

Where is Johanna Medina located?

Johanna Medina practices at 400 Community Dr, Manhasset, NY 11030. The listed phone number is (516) 472-5800.

What is Johanna Medina's specialty?

The primary specialty registered for this NPI is Transplant Surgery with taxonomy code 204F00000X.

Is Johanna Medina enrolled in Medicare?

Yes. Johanna Medina is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Johanna Medina was last updated on May 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.