Individual provider Active NPI

Yvan Fortunat, NP

  • Adult Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1114766086
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
311760-1 Issued in NY
Practice address
1220 Ocean Ave Apt 6B
Brooklyn, NY 11230-7428
Phone
(607) 624-3251
NPI assigned
May 21, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 311760-1 NY Primary

Addresses

Primary practice location

1220 Ocean Ave Apt 6B
Brooklyn, NY 11230-7428

Mailing address

1220 Ocean Ave Apt 6B
Brooklyn, NY 11230-7428
Phone (607) 624-3251

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
I20250430002420 NY Practitioner - Nurse Practitioner 0143746313 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
311760-1NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Essen Medical Urgicare, PLLC CurrentSince Apr 28, 2025 Accepting new patients
Bronx Medical Practice P.C. CurrentSince Apr 28, 2025 Accepting new patients
Essen Medical Associates, PC CurrentSince Feb 28, 2025 Accepting new patients
House Call Medical Services of New York, PLLC CurrentSince Feb 28, 2025 Accepting new patients
Essen Medical Associates, PC CurrentSince Feb 28, 2025 Accepting new patients

Locations

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

1550 Dr Martin L King Jr Blvd
Bronx, NY 10452
Phone (347) 269-2366

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

8989 Union Tpke
Glendale, NY 11385
Phone (718) 480-6207

Organizations & group practices 5

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": "1716249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1114766086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 OCEAN AVE APT 6B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112307428",
            "telephone_number": "607-624-3251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 OCEAN AVE APT 6B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112307428",
            "telephone_number": "607-624-3251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTUNAT",
        "first_name": "YVAN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-21",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "311760-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.