MARIA MONICA CARMONA NP
NPI 1801481536
Nurse Practitioner - Psychiatric/Mental Health in Garden City, NY

Active since March 04, 2021PECOS Enrolled
1399 FRANKLIN AVE FL 2, GARDEN CITY, NY 11530(845) 279-5908(845) 622-3636 Get Directions Write a Review

NPPES record last updated: July 24, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 24, 2026, Mar 17, 2026, Mar 4, 2021 (3 updates tracked since 2021).

About Maria Monica Carmona Np NPPES

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

MARIA MONICA CARMONA NP (NPI 1801481536) is an individual psychiatric/mental health provider in Garden City, New York, licensed in New York (403239) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Plainview.

NPPES Registry Identity

NPI1801481536
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMARIA MONICA CARMONACredential: NP
Location Address1399 FRANKLIN AVE FL 2Garden City, NY 11530-7400
Mailing Address667 Stoneleigh Ave Ste 202Carmel, NY 10512-2455 · (845) 279-5908 · Fax (845) 622-5055
Fax(845) 622-3636
Sole ProprietorNo
Enumeration DateMarch 4, 2021
Last NPPES UpdateJuly 24, 20263 updates tracked since enumeration
NPPES CertifiedJuly 24, 2026
✔ NPI 1801481536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · 403239
1399 FRANKLIN AVE FL 2, Garden City, NY 11530

Secondary Practice Location 1

Location 155 W Ames Ct Ste 100Plainview, NY 11803-2304 · Phone (516) 427-1423

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maria Monica Carmona Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Maria Carmona reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health (Including Community Mental Health Center)
10819 ROCKAWAY BLVD
South Ozone Park, NY 11420
  • Reassigned Medicare billing, New York enrollment
  • 187 clinicians in this Medicare group
Specialist
81 LOUDEN AVE
Amityville, NY 11701
  • Reassigned Medicare billing, New York enrollment
  • 27 clinicians in this Medicare group
Psychologist
667 STONELEIGH AVE STE 202
Carmel, NY 10512
  • Reassigned Medicare billing, New York enrollment
  • 296 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11530 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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

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

Social Worker (Clinical)
1399 FRANKLIN AVE FL 2
GARDEN CITY, NY 11530

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 Maria Carmona's NPI number?

The NPI number for Maria Carmona is 1801481536. It was assigned to this individual provider in the NPPES registry on March 4, 2021.

Where is Maria Carmona located?

Maria Carmona practices at 1399 Franklin Ave Fl 2, Garden City, NY 11530. The listed phone number is (845) 279-5908.

What is Maria Carmona's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Maria Carmona enrolled in Medicare?

Yes. Maria Carmona is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Maria Carmona's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maria Carmona reassigns Medicare benefits to 3 organizations: New Horizon Counseling Center Inc (South Ozone Park, NY), South Shore Magnetic Resonance Imaging Associates PC (Amityville, NY) and Carmel Psychological Health, PC (Carmel, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Maria Carmona's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Maria Carmona accept?

Health plans from Oscar Health list Maria Carmona as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Maria Carmona was last updated on July 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.