Active NPI
Vladlen A Kurnov, APN, CHPN
- Nurse Practitioner
- Wayne, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 26NJ01132300
- Practice address
- 71 Alder Ave
Wayne, NJ 07470-6131 - Phone
- (551) 795-5761
- NPI assigned
- Mar 19, 2020
- Last updated
- Mar 2, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 26NJ01132300 | NJ | Primary |
| Adult Health Nurse Practitioner | 363LA2200X | F310210 | NY | |
| Registered Nurse | 163W00000X | 612057 | NY |
Addresses
Primary practice location
71 Alder Ave
Wayne, NJ 07470-6131
Mailing address
525 Union Blvd
Totowa, NJ 07512-2442
Phone (551) 795-5761
Other practice location 1
606 Broadway
Paterson, NJ 07514-1916
Phone (973) 523-4000
Other practice location 2
525 Union Blvd
Totowa, NJ 07512-2442
Phone (862) 229-0559
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 612057 | NY | MD | Registered Nurse |
| F310210 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ennoble HC NJ PC | Current | Accepting new patients | |
| Harmony Medical Services of New Jersey LLC | Current | Accepting new patients | |
| Harmony Medical Services of New Jersey LLC | Current | Accepting new patients | |
| Advanced Perioperative Medicine, P.a. | Current | Accepting new patients | |
| G&S Medical Associates LLC | Current | Accepting new patients |
Locations
2 University Plz
Ste 204
Hackensack, NJ 07601
Phone (201) 564-0142
104 Lincoln Ave
Hawthorne, NJ 07506
Phone (973) 427-6800
28 Valley Rd
Montclair, NJ 07042
Phone (908) 451-8519
1 Riverfront Plz
Ste 300
Newark, NJ 07102
Phone (201) 273-7047
606 Broadway
Paterson, NJ 07514
Phone (973) 278-8818
91 Main St
Paterson, NJ 07505
Phone (973) 358-5500
1268 Route 37 W
Ste 1
Toms River, NJ 08755
Phone (732) 602-4480
525 Union Blvd
Totowa, NJ 07512
Phone (862) 229-0559
Organizations & group practices 6
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.
-
- Pain Medicine (Anesthesiology) Physician
- Totowa, NJ
- NPI 1962427807
-
- Geriatric Medicine (Family Medicine) Physician
- Hackensack, NJ
- NPI 1306500764
-
- Internal Medicine Physician
- Paterson, NJ
- NPI 1982982336
-
dba Harmonycares Medical Group
- Family Medicine Physician
- Montclair, NJ
- NPI 1649873183
-
dba HarmonyCares Health Services
- Family Nurse Practitioner
- Montclair, NJ
- NPI 1154152411
-
dba Harmonycares Medical Group
- Family Medicine Physician
- Montclair, NJ
- NPI 1356048573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646179200000",
"number": "1235765587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 UNION BLVD",
"city": "TOTOWA",
"state": "NJ",
"postal_code": "075122442",
"telephone_number": "551-795-5761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "71 ALDER AVE",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074706131",
"telephone_number": "551-795-5761"
}
],
"practiceLocations": [
{
"address_1": "606 Broadway",
"address_purpose": "LOCATION",
"city": "Paterson",
"state": "NJ",
"postal_code": "075141916",
"country_code": "US",
"telephone_number": "973-523-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "525 Union Blvd",
"address_purpose": "LOCATION",
"city": "Totowa",
"state": "NJ",
"postal_code": "075122442",
"country_code": "US",
"telephone_number": "862-229-0559",
"fax_number": "973-928-5359",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KURNOV",
"first_name": "VLADLEN",
"middle_name": "A",
"credential": "APN, CHPN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-03-19",
"last_updated": "2022-03-02",
"certification_date": "2022-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NJ",
"license": "26NJ01132300",
"primary": true
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F310210",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "612057",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wayne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; 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.