Individual provider Active NPI

Fred Darkwa, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1003228594
Registry record updated Mar 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F403338 Issued in NY
Practice address
2006 Madison Ave FL 1
New York, NY 10035-1217
Phone
(914) 216-5718
Fax
(845) 633-5765
NPI assigned
Jun 2, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 679006 NY
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X F403338 NY Primary

Addresses

Primary practice location

2006 Madison Ave FL 1
New York, NY 10035-1217

Mailing address

100 Riverdale Ave Apt 8a
Yonkers, NY 10701-4625
Phone (914) 216-5718

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220412001842 NY Practitioner - Nurse Practitioner 8022404417 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Institute for Family HealthGroup PAC ID 9234048588, 188 clinicians

Practice addresses (Care Compare)

16 E 16TH St
New York, NY 10003-3105
Phone (212) 924-7744

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
679006NYMDRegistered Nurse
F403338NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Institute for Family Health Single Specialty Current Accepting new patients
The Institute for Family Health Single Specialty CurrentSince Apr 6, 2022 Accepting new patients
The Institute for Family Health Single Specialty CurrentSince Apr 6, 2022 Accepting new patients

Locations

731 White Plains Rd
Bronx, NY 10473
Phone (718) 589-8324

1894 Walton Ave
Bronx, NY 10453
Phone (718) 583-2508

130 W Tremont Ave
Bronx, NY 10453
Phone (718) 299-3045

1420 Ferris Pl
Bronx, NY 10461
Phone (718) 239-1610

1420 Ferris Pl
Ste 1
Bronx, NY 10461
Phone (718) 239-1610

6 Healthy Way
Ellenville, NY 12428
Phone (845) 647-4500

11 Crum Elbow Rd
Hyde Park, NY 12538
Phone (845) 229-1020

1 Foxhall Ave
Kingston, NY 12401
Phone (845) 338-1535

140 Pine St
Kingston, NY 12401
Phone (844) 434-2778

1 Family Practice Dr
Kingston, NY 12401
Phone (845) 338-2562

251 W 80th St
New York, NY 10024

1824 Madison Ave
Fl 2
New York, NY 10035
Phone (212) 423-4200

1824 Madison Ave
New York, NY 10035
Phone (212) 423-4200

230 W 17th St
New York, NY 10011
Phone (212) 989-8999

2090 Adam Clayton Powell Jr Blvd
New York, NY 10027
Phone (212) 553-6606

690 Amsterdam Ave
New York, NY 10025
Phone (212) 865-4104

601 W 114th St
New York, NY 10025
Phone (212) 280-1284

16 E 16th St
New York, NY 10003
Phone (212) 633-0800

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1003228594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 RIVERDALE AVE APT 8A",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107014625",
            "telephone_number": "914-216-5718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 MADISON AVE FL 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100351217",
            "telephone_number": "914-216-5718",
            "fax_number": "845-633-5765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARKWA",
        "first_name": "FRED",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-02",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "679006",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F403338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.