Individual provider Active NPI

Brenda Achieng Ndunda, FNP

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1033626106
Registry record updated Dec 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F344106-1 Issued in NY
Practice address
1248 Fulton St
Brooklyn, NY 11216-2003
Phone
(646) 604-8130
NPI assigned
Jan 10, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP135622 TX
Family Nurse Practitioner 363LF0000X 201800353NP-PP OR
Family Nurse Practitioner 363LF0000X F344106-1 NY Primary

Addresses

Primary practice location

1248 Fulton St
Brooklyn, NY 11216-2003

Mailing address

1248 Fulton St
Brooklyn, NY 11216-2003
Phone (646) 604-8130

Other practice location 1

890 Oak St SE
Salem, OR 97301-3905
Phone (503) 561-5200

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
I20201022002756 NY Practitioner - Nurse Practitioner 3173886108 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Texas Tech University Health Science Center School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rockwell Health LLCGroup PAC ID 5597125609, 10 clinicians
Doral Medical and Multi Specialty Facility LLCGroup PAC ID 9830528645, 53 clinicians

Practice addresses (Care Compare)

17 W 9TH St
Brooklyn, NY 11231-2501
Phone (718) 599-9090

1797 Pitkin Ave
Suite 2
Brooklyn, NY 11212-7844
Phone (718) 971-1944

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F344106-1NYMDFamily Nurse Practitioner
AP135622TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
BP Immediate Medical Care, PC CurrentSince Jun 5, 2024 Accepting new patients
Prompt Urgent Care,PLLC CurrentSince Feb 10, 2025 Accepting new patients
Modern Physician Services PC CurrentSince Nov 1, 2020 Accepting new patients
Beacon Health Medical PC CurrentSince Dec 1, 2025 Accepting new patients
Urgent Care Physician of New York-Hartsdale PLLC CurrentSince Sep 1, 2020 Accepting new patients
Doral Medical and Multi Specialty Facility LLC CurrentSince Feb 10, 2025 Accepting new patients
Doral Pharmacy LLC PastSince Feb 10, 2025 Accepting new patients
Rockland Medical Group, PLLC PastSince Apr 15, 2017 Accepting new patients
Rockwell Health LLC Past Accepting new patients
Pharma Holding Inc PastSince Jul 23, 2023 Accepting new patients

Locations

735 Bedford Ave
Brooklyn, NY 11205
Phone (201) 688-2424

916 Flatbush Ave
Brooklyn, NY 11226
Phone (646) 604-8140

331 Knickerbocker Ave
Brooklyn, NY 11237
Phone (718) 971-1944

5002 Flatlands Ave
Brooklyn, NY 11234
Phone (718) 971-1944

391 Eastern Pkwy
Brooklyn, NY 11216
Phone (718) 613-1600

3808 14th Ave
Brooklyn, NY 11218
Phone (718) 972-2424

1797 Pitkin Ave
Ste 1
Brooklyn, NY 11212
Phone (718) 971-1944

1797 Pitkin Ave
Ste 2
Brooklyn, NY 11212
Phone (718) 367-2555

1797 Pitkin Ave
Brooklyn, NY 11212
Phone (718) 367-2555

17 W 9th St
Brooklyn, NY 11231
Phone (718) 599-9090

331 Knickerbocker Ave
Ste B
Brooklyn, NY 11237
Phone (718) 400-1444

1248 Fulton St
Brooklyn, NY 11216
Phone (646) 604-8130

7537 31st Ave
Flushing, NY 11370
Phone (929) 447-7513

2 Suffern Ln
Garnerville, NY 10923
Phone (845) 218-0809

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HHFGDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/CHFABD

Organizations & group practices 10

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": "1515542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607904000000",
    "number": "1033626106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1248 FULTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112162003",
            "telephone_number": "646-604-8130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1248 FULTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112162003",
            "telephone_number": "646-604-8130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "890 Oak St SE",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973013905",
            "country_code": "US",
            "telephone_number": "503-561-5200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NDUNDA",
        "first_name": "BRENDA",
        "middle_name": "ACHIENG",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-10",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP135622",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201800353NP-PP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F344106-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.