Individual provider Active NPI

Mandip Kaur

  • Family Nurse Practitioner
  • Lynbrook, NY
National Provider Identifier
1013496793
Registry record updated Aug 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
343463 Issued in NY
Practice address
232 Merrick Rd
Lynbrook, NY 11563-2623
Phone
(516) 594-5961
NPI assigned
Aug 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 343463 NY Primary

Addresses

Primary practice location

232 Merrick Rd
Lynbrook, NY 11563-2623

Mailing address

232 Merrick Rd
Lynbrook, NY 11563-2623

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
I20180924002641 NY Practitioner - Nurse Practitioner 5496006850 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Five Towns Heart Imaging Medical P.C.Group PAC ID 5890846380, 11 clinicians

Practice addresses (Care Compare)

650 Central Ave
Cedarhurst, NY 11516-2301
Phone (516) 804-8590

Merit-based Incentive Payment System (MIPS)

Final score
97.99 of 100Reported as group
Quality
100
Improvement activities
40
Cost
72.51

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cedarhurst Medical PC CurrentSince Jul 1, 2021 Accepting new patients
Five Towns Heart Imaging Medical P.C. CurrentSince Mar 18, 2021 Accepting new patients
All Borough Medical Solution PC CurrentSince Mar 18, 2021 Accepting new patients

Locations

650 Central Ave
Ste N
Cedarhurst, NY 11516

650 Central Ave
Ste K
Cedarhurst, NY 11516
Phone (212) 535-1550

242 Beach 20th St
Far Rockaway, NY 11691
Phone (718) 471-0982

2374 Jerusalem Ave
North Bellmore, NY 11710
Phone (516) 409-8311

9502 Rockaway Beach Blvd
Rockaway Beach, NY 11693
Phone (718) 474-2478

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CIABCD/Endpoint/CIABCD

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": "1534118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534118400000",
    "number": "1013496793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 MERRICK RD",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115632623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 MERRICK RD",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115632623",
            "telephone_number": "516-594-5961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUR",
        "first_name": "MANDIP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-13",
        "last_updated": "2018-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "343463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynbrook, NY

Sources for this page

Verify at the official NPI Registry.