Active NPI
Carolyn Elisabeth Wurst, M.S.ED
- Specialist
- New York, NY
National Provider Identifier
1184235046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 3929313
- 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
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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 3929313 | NY | MD | Specialist |
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.