Individual provider Active NPI

Carolyn Elisabeth Wurst, M.S.ED

  • Specialist
  • New York, NY
National Provider Identifier
1184235046
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
3929313 Issued in NY
Practice address
159 W 127TH St
New York, NY 10027-3723
Phone
(212) 752-7575
NPI assigned
Aug 13, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 3929313 NY Primary

Addresses

Primary practice location

159 W 127TH St
New York, NY 10027-3723

Mailing address

2259 27TH St Apt 3a
Astoria, NY 11105-3138
Phone (929) 369-7563

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address carolyn.wurst@nyccd.org Direct New York Center for Child Development

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3929313NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1184235046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2259 27TH ST APT 3A",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111053138",
            "telephone_number": "929-369-7563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 W 127TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100273723",
            "telephone_number": "212-752-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WURST",
        "first_name": "CAROLYN",
        "middle_name": "ELISABETH",
        "name_prefix": "Ms.",
        "credential": "M.S.ED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-13",
        "last_updated": "2023-11-27",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "3929313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "carolyn.wurst@nyccd.org",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "New York Center for Child Development",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "159 W 127th St",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100273723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.