MISS EMBER NICOLE DESTEFANI FNP-BC
NPI 1710242862
Nurse Practitioner - Family in New York, NY

Q: What is Ember Destefani's NPI number?

The NPI number for Ember Destefani is 1710242862. It was assigned to this individual provider in the NPPES registry on July 5, 2012.

Q: What is Ember Destefani's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Ember Destefani was last updated on January 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since July 05, 2012PECOS Enrolled

1824 MADISON AVE, NEW YORK, NY 10035(212) 423-4500 Get Directions Write a Review

NPPES record last updated: January 3, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 3, 2020, Mar 15, 2017 (2 updates tracked since 2017).

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About Miss Ember Nicole Destefani Fnp-bc NPPES

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

MISS EMBER NICOLE DESTEFANI FNP-BC (NPI 1710242862) is an individual family provider in New York, New York, licensed in New York (F337111-1) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1710242862

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMISS EMBER NICOLE DESTEFANICredential: FNP-BC

Location Address1824 MADISON AVENew York, NY 10035-3832

Mailing Address1824 Madison AveNew York, NY 10035-3832 · (212) 423-4500

Phone(212) 423-4500

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateJuly 5, 2012

Last NPPES UpdateJanuary 3, 20202 updates tracked since enumeration

✔ NPI 1710242862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · F337111-1

1824 MADISON AVE, New York, NY 10035

Open in Google Maps ↗

Other Identifiers 1

OtherF337111NY · License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Ember Nicole Destefani Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5890939888

PECOS Enrollment IDI20131031000089

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10035 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$102.04 typical visit price

range $65.69 – $198.19

Typical copayment $25.51 (range $16.42 – $49.54)

Most-billed visit code 99203

Established Patient

$114.88 typical visit price

range $21.20 – $160.66

Typical copayment $28.72 (range $5.30 – $40.16)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

JOSEPH PORTELLI

Student in an Organized Health Care Education/Training Program