Individual provider Active NPI

Vladlen A Kurnov, APN, CHPN

  • Nurse Practitioner
  • Wayne, NJ
National Provider Identifier
1235765587
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ01132300 Issued in NJ
Practice address
71 Alder Ave
Wayne, NJ 07470-6131
Phone
(551) 795-5761
NPI assigned
Mar 19, 2020
Last updated
Mar 2, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220627003701 NJ Practitioner - Nurse Practitioner 2668880279 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
612057NYMDRegistered Nurse
F310210NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ennoble HC NJ PC CurrentSince Jan 23, 2023 Accepting new patients
Harmony Medical Services of New Jersey LLC CurrentSince Jul 26, 2025 Accepting new patients
Harmony Medical Services of New Jersey LLC CurrentSince Jul 26, 2025 Accepting new patients
Advanced Perioperative Medicine, P.a. CurrentSince Mar 19, 2022 Accepting new patients
G&S Medical Associates LLC CurrentSince Mar 11, 2022 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.

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

Verify at the official NPI Registry.