KATHERINE ROSANGELA QUEZADA
NPI 1952940942
Nurse Practitioner - Adult Health in Port Jefferson, NY

Q: What is Katherine Quezada's NPI number?

The NPI number for Katherine Quezada is 1952940942. It was assigned to this individual provider in the NPPES registry on December 23, 2019.

Q: What is Katherine Quezada's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Katherine Quezada was last updated on December 23, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 23, 2019PECOS Enrolled

625 BELLE TERRE RD, PORT JEFFERSON, NY 11777(631) 473-1320 Get Directions Write a Review

NPPES record last updated: December 23, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Katherine Rosangela Quezada NPPES

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

KATHERINE ROSANGELA QUEZADA (NPI 1952940942) is an individual adult health provider in Port Jefferson, New York, licensed in New York (309278) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952940942

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameKATHERINE ROSANGELA QUEZADA

Location Address625 BELLE TERRE RDPort Jefferson, NY 11777-2316

Mailing Address10 Biscayne DrSelden, NY 11784-1011 · (631) 481-5257

Phone(631) 473-1320

Sole ProprietorYes

Enumeration DateDecember 23, 2019

✔ NPI 1952940942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NY · 309278

625 BELLE TERRE RD, Port Jefferson, NY 11777

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katherine Rosangela Quezada 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11777 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.

Leave this field empty

Other Providers at the Same Location NPPES 14

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

MICHELLE MARILYN CRADDOCK ANP

Family Medicine

625 BELLE TERRE RD, SUITE 119 PORT JEFFERSON MEDICAL ASSOC
PORT JEFFERSON, NY 11777

Suffolk County (631) 642-0609

DINESH SHUKLA MD

Psychiatry & Neurology (Neurology)

625 BELLE TERRE RD, SUITE 205
PORT JEFFERSON, NY 11777

Suffolk County (631) 331-0776

JOHN T MATHER MEMORIAL HOSPITAL

Dietitian, Registered (Nutrition, Metabolic)

625 BELLE TERRE RD, SUITE 203
PORT JEFFERSON, NY 11777

Suffolk County (631) 686-7897

TINA JOSEPH M.D.

Surgery

625 BELLE TERRE RD, SUITE 202
PORT JEFFERSON, NY 11777

Suffolk County (631) 689-0220

S CHANDRA SHEKHER MD

Psychiatry & Neurology (Psychiatry)

625 BELLE TERRE RD, SUITE 211
PORT JEFFERSON, NY 11777

Suffolk County (631) 331-3800

GEORGE C PETRO MD

Psychiatry & Neurology (Psychiatry)

625 BELLE TERRE RD, SUITE 205
PORT JEFFERSON, NY 11777

Suffolk County (631) 473-4753

NORTH SUFFOLK SURGICAL ASSOC

Specialist

625 BELLE TERRE RD, SUITE 201
PORT JEFFERSON, NY 11777

Suffolk County (631) 474-0707

RYAN FUELLBIER PA-C

Physician Assistant

625 BELLE TERRE RD, 202
PORT JEFFERSON, NY 11777

Suffolk County (631) 686-7990

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 Katherine Quezada's NPI number?

The NPI number for Katherine Quezada is 1952940942. It was assigned to this individual provider in the NPPES registry on December 23, 2019.

Where is Katherine Quezada located?

Katherine Quezada practices at 625 Belle Terre Rd, Port Jefferson, NY 11777. The listed phone number is (631) 473-1320.

What is Katherine Quezada's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Katherine Quezada enrolled in Medicare?

Yes. Katherine Quezada is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Katherine Quezada was last updated on December 23, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.