Active NPI
Kristina Herlihy Fuhrmann
- Nurse Practitioner
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 347556
- Practice address
- 30 Broad St FL 45
New York, NY 10004-2942 - Phone
- (212) 530-0630
- Fax
- (415) 252-7176
- NPI assigned
- Mar 28, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 674065 | NY | |
| Family Nurse Practitioner | 363LF0000X | 347556 | NY | |
| Nurse Practitioner | 363L00000X | 347556 | NY | Primary |
Addresses
Primary practice location
30 Broad St FL 45
New York, NY 10004-2942
Mailing address
279 E 44TH St Apt 7a
New York, NY 10017-4317
Phone (201) 290-9657
Other practice location 1
130 Lenox Ave
New York, NY 10026-2503
Phone (212) 348-2199
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
185 Broadway
FL 2
New York, NY 10007-0167
Phone (888) 663-6331
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 674065 | NY | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montefiore Medical Center | Current | Accepting new patients | |
| One Medical of Ny, P.C. | Current | Accepting new patients | |
| Montefiore Medical Center | Current | Accepting new patients |
Locations
111 E 210th St
Bronx, NY 10467
30 Broad St
Fl 45
New York, NY 10004
Phone (212) 530-0630
185 Broadway
#2
New York, NY 10007
Phone 8886636331 ext. 86791
919 3rd Ave
Ste 105
New York, NY 10022
Phone (212) 530-0650
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
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.
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
-
- Family Medicine Physician
- New York, NY
- NPI 1861709487
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742256000000",
"number": "1033796602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "279 E 44TH ST APT 7A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100174317",
"telephone_number": "201-290-9657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 BROAD ST FL 45",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100042942",
"telephone_number": "212-530-0630",
"fax_number": "415-252-7176"
}
],
"practiceLocations": [
{
"address_1": "130 Lenox Ave",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100262503",
"country_code": "US",
"telephone_number": "212-348-2199",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FUHRMANN",
"first_name": "KRISTINA",
"middle_name": "HERLIHY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-28",
"last_updated": "2025-03-18",
"certification_date": "2025-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "674065",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "347556",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "347556",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.