Individual provider Active NPI

Christina Katherine Bynums, R.N.

  • Family Nurse Practitioner
  • Cambria Heights, NY
National Provider Identifier
1184092868
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F349337 Issued in NY
Practice address
21651 117TH Rd
Cambria Heights, NY 11411-1513
Phone
(646) 663-0322
NPI assigned
Sep 11, 2015
Reactivated
Jan 22, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F349337 NY Primary
Registered Nurse 163W00000X 22707237 NY

Addresses

Primary practice location

21651 117TH Rd
Cambria Heights, NY 11411-1513

Mailing address

21651 117TH Rd
Cambria Heights, NY 11411-1513
Phone (646) 663-0322

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
I20250201000089 NY Practitioner - Nurse Practitioner 3375072515 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Essen Medical Urgicare, PLLCGroup PAC ID 4385960897, 60 clinicians
Essen Medical Associates, PCGroup PAC ID 1759353501, 264 clinicians

Practice addresses (Care Compare)

1550 Dr Martin L King Jr Blvd
Bronx, NY 10452-1503
Phone (347) 269-2366

2015 Grand Concourse
Bronx, NY 10453-4303
Phone (718) 299-7295

2505 Grand Ave
Bronx, NY 10468-4206
Phone (718) 295-1400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22707237NYMDRegistered Nurse
F349337NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Essen Medical Urgicare, PLLC CurrentSince Nov 29, 2024 Accepting new patients
Essen Medical Associates, PC CurrentSince Nov 29, 2024 Accepting new patients
Essen Medical Associates, PC CurrentSince Nov 29, 2024 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

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1441929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1184092868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21651 117TH RD",
            "city": "CAMBRIA HEIGHTS",
            "state": "NY",
            "postal_code": "114111513",
            "telephone_number": "646-663-0322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21651 117TH RD",
            "city": "CAMBRIA HEIGHTS",
            "state": "NY",
            "postal_code": "114111513",
            "telephone_number": "646-663-0322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYNUMS",
        "first_name": "CHRISTINA",
        "middle_name": "KATHERINE",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-11",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "deactivation_date": "2025-01-11",
        "reactivation_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F349337",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "22707237",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambria Heights, NY

Sources for this page

Verify at the official NPI Registry.