Active NPI
Nafila Kouba, M.D.
- Family Medicine Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 291582
- Practice address
- 6317 4TH Ave
Brooklyn, NY 11220-4922 - Phone
- (718) 907-8100
- NPI assigned
- Apr 23, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 291582 | NY | Primary |
Addresses
Primary practice location
6317 4TH Ave
Brooklyn, NY 11220-4922
Mailing address
6317 4TH Ave
Brooklyn, NY 11220-4922
Phone (718) 907-8100
Other practice location 1
1 Family Practice Dr
Kingston, NY 12401-6449
Phone (845) 338-6400
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nkouba233000@nyumc.direct-ci.com |
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NYU Langone Hospitals | Current | Accepting new patients | |
| NYU Langone Hospitals | Current | Accepting new patients | |
| NYU Langone Hospitals | Current | Accepting new patients | |
| Chinatown True Care Medical PLLC | Family Medicine | Current | Accepting new patients |
Locations
6317 4th Ave
Brooklyn, NY 11220
Phone (718) 492-8233
3808 Union St
Ste 3L
Flushing, NY 11354
Phone (718) 939-5213
4235 Main St
Ste 3E
Flushing, NY 11355
Phone (718) 886-5068
168 Centre St
Fl 2
New York, NY 10013
Phone (212) 966-8286
301 E 17th St
New York, NY 10003
Phone (212) 460-0125
14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Interoperability endpoints
- nkouba233000@nyumc.direct-ci.com
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- New York, NY
- NPI 1912567884
Family Medicine
-
- Internal Medicine Physician
- New York, NY
- NPI 1790975944
-
- Psychiatric Hospital Unit
- Patchogue, NY
- NPI 1508687021
-
- Multi-Specialty Clinic/Center
- Brooklyn, NY
- NPI 1831549559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628553600000",
"number": "1114347648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6317 4TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112204922",
"telephone_number": "718-907-8100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6317 4TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112204922",
"telephone_number": "718-907-8100"
}
],
"practiceLocations": [
{
"address_1": "1 Family Practice Dr",
"address_purpose": "LOCATION",
"city": "Kingston",
"state": "NY",
"postal_code": "124016449",
"country_code": "US",
"telephone_number": "845-338-6400",
"fax_number": "845-339-7288",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOUBA",
"first_name": "NAFILA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-23",
"last_updated": "2021-08-10",
"certification_date": "2021-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "291582",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nkouba233000@nyumc.direct-ci.com",
"affiliation": "N",
"address_1": "6317 4th Ave",
"city": "Brooklyn",
"state": "NY",
"country_code": "US",
"postal_code": "112204922",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.