Individual provider Active NPI

Tamila Kadyr-Akhunova

  • Family Nurse Practitioner
  • Bergenfield, NJ
National Provider Identifier
1184595431
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ15396800 Issued in NJ
Practice address
35 S Washington Ave
Bergenfield, NJ 07621-2399
Phone
(201) 586-0001
Fax
(201) 586-0001
NPI assigned
Sep 17, 2025
Last updated
Aug 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ15396800 NJ Primary

Addresses

Primary practice location

35 S Washington Ave
Bergenfield, NJ 07621-2399

Mailing address

35 S Washington Ave
Bergenfield, NJ 07621-2399
Phone (201) 586-0001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20260202001479 NJ Practitioner - Nurse Practitioner 5597243493 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ritu Suri MD, LLCGroup PAC ID 3779585567, 6 clinicians

Practice addresses (Care Compare)

245 Engle St
Englewood, NJ 07631-2465
Phone (201) 569-5330

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ15396800NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pai Participant 25 PC CurrentSince Nov 16, 2025 Accepting new patients
Ritu Suri MD, LLC CurrentSince Jan 5, 2026 Accepting new patients

Locations

245 Engle St
Englewood, NJ 07631
Phone (201) 568-0770

1361 Route 72 W
Manahawkin, NJ 08050
Phone (609) 978-0600

290 Red School Ln
Phillipsburg, NJ 08865
Phone (908) 859-2800

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1758067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1184595431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 S WASHINGTON AVE",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076212399",
            "telephone_number": "201-586-0001",
            "fax_number": "201-586-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 S WASHINGTON AVE",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076212399",
            "telephone_number": "201-586-0001",
            "fax_number": "201-586-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADYR-AKHUNOVA",
        "first_name": "TAMILA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-17",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15396800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bergenfield, NJ

Sources for this page

Verify at the official NPI Registry.