Individual provider Active NPI

Edward John Nekvapil, FNP

  • Family Nurse Practitioner
  • Middletown, NY
National Provider Identifier
1194039941
Registry record updated Aug 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
335745 Issued in NY
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

Updated by the provider on Aug 4, 2010

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190604001950 NY Practitioner - Nurse Practitioner 1951534247 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
335745NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
State of New York Comptrollers Office CurrentSince Jun 1, 2019 Accepting new patients
State of New York Comptrollers Office CurrentSince Jun 1, 2019 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.

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

Verify at the official NPI Registry.