Active NPI
Edward John Nekvapil, FNP
- Family Nurse Practitioner
- Middletown, NY
National Provider Identifier
1194039941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 335745
- Practice address
- 42 Rykowski LN
Suite 2
Middletown, NY 10941-4018 - Phone
- (845) 695-7300
- Fax
- (845) 695-7388
- NPI assigned
- Aug 4, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 335745 | NY | Primary |
Addresses
Primary practice location
42 Rykowski LN
Suite 2
Middletown, NY 10941-4018
Mailing address
2608 County Route 1
Port Jervis, NY 12771-3422
Phone (845) 551-1874
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 335745 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of New York Comptrollers Office | Current | Accepting new patients | |
| State of New York Comptrollers Office | Current | Accepting new patients | |
| Milliam Physical Therapy Services LLC | Past | Accepting new patients | |
| Hudson Valley D.D.S.O. | Past | Accepting new patients |
Locations
44 Holland Ave
Fl 4
Albany, NY 12208
305 Main St
Binghamton, NY 13905
Phone (607) 729-1295
42 Rykowski Ln
Middletown, NY 10941
Phone (845) 673-5554
42 Rykowski Ln
#2
Middletown, NY 10941
Phone (845) 673-5554
Organizations & group practices 4
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.
-
- Developmental Disabilities Clinic/Center
- Staten Island, NY
- NPI 1750469912
-
- Community/Behavioral Health Agency
- Middletown, NY
- NPI 1578788055
-
- Physical Therapy Clinic/Center
- Middletown, NY
- NPI 1619466307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280880000000",
"number": "1194039941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2608 COUNTY ROUTE 1",
"city": "PORT JERVIS",
"state": "NY",
"postal_code": "127713422",
"telephone_number": "845-551-1874",
"fax_number": "845-695-7388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 RYKOWSKI LN",
"address_2": "SUITE 2",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109414018",
"telephone_number": "845-695-7300",
"fax_number": "845-695-7388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEKVAPIL",
"first_name": "EDWARD",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-08-04",
"last_updated": "2010-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "335745",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Middletown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.