Jordana Kozupsky Bel

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

308587 Issued in NY

Practice address

777 N Broadway Ste 207
Sleepy Hollow, NY 10591-1019

Phone

(914) 366-3677

Fax

(914) 269-1868

NPI assigned

Feb 20, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Merit-based Incentive Payment System (MIPS)

Final score

93.07 of 100Reported as apm

Quality

79.77

Promoting interoperability

88.77

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jordanakozupsky@nslijmedgr.allscriptsdirect.net

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.

• CHS Physician Partners, PC

  • Interventional Cardiology Physician
  • Fresh Meadows, NY
  • NPI 1407089345
  Medicare reassignment NPD
• North Shore-Lij Medical PC

  • Urology Physician
  • Great Neck, NY
  • NPI 1053688572
  Medicare reassignment NPD
• CHS Physician Partners, P.C

  • Cardiovascular Disease Physician
  • Roslyn, NY
  • NPI 1164585725
  NPD

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1114427721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 N BROADWAY STE 207",
            "city": "SLEEPY HOLLOW",
            "state": "NY",
            "postal_code": "105911019",
            "telephone_number": "914-366-3677",
            "fax_number": "914-269-1868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 N BROADWAY STE 207",
            "city": "SLEEPY HOLLOW",
            "state": "NY",
            "postal_code": "105911019",
            "telephone_number": "914-366-3677",
            "fax_number": "914-269-1868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEL",
        "first_name": "JORDANA",
        "middle_name": "KOZUPSKY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-20",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "308587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sadye Annette Bartolomei, L.C.S.W.
• Namrata Sanjiv Bavishi, DMD
• Nidhi Nikhil Baxi
• Monique Bean, RN
• Patricia D Becerra, LCSW-R
• Dubis Elina Beleno Hamilton, NP
• Sean Bell-Thomson, PH.D.
• Erica Bello-Rodriguez, APN
• Daphne A Benedit, DDS
• Nathan Peter Benton, DDS

• Adult Health Nurse Practitioner in Sleepy Hollow, NY
• Providers in Sleepy Hollow, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.

Verify at the official NPI Registry.