Pawanjeet Kaur

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ00931000 Issued in NJ

Practice address

156 Newark Pompton Tpke
Pequannock, NJ 07440

Phone

(973) 692-1221

NPI assigned

Jul 2, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pawanjeet.kaur.1@24989.direct.athenahealth.com
• Direct secure messaging: pkaur1517072@nychhc.direct-ci.com

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.

• Park Avenue Pediatrics, P.C.

  dba PArk Avenue Health CEnter

  • Pediatrics Physician
  • Spring Valley, NY
  • NPI 1699969543
  Medicare reassignment NPD

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562889600000",
    "number": "1245892959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 NEWARK POMPTON TPKE",
            "city": "PEQUANNOCK",
            "state": "NJ",
            "postal_code": "074401327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 NEWARK POMPTON TPKE",
            "city": "PEQUANNOCK",
            "state": "NJ",
            "postal_code": "07440",
            "telephone_number": "973-692-1221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 Church St",
            "address_purpose": "LOCATION",
            "city": "Elmwood Park",
            "state": "NJ",
            "postal_code": "074071316",
            "country_code": "US",
            "telephone_number": "917-346-0147",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18 Church St",
            "address_purpose": "LOCATION",
            "city": "Elmwood Park",
            "state": "NJ",
            "postal_code": "074071316",
            "country_code": "US",
            "telephone_number": "917-346-0147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAUR",
        "first_name": "PAWANJEET",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-02",
        "last_updated": "2019-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "344085",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00931000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Hanisch, LCSW
• Celina Jannicelli, FNP
• Dariusz Jasinski, DPM
• Jersey Care Ambulance Services Inc
• Nicole Jones, PA-C
• Brian Knowles
• Nour A Kwaik, PHARMD
• Michael Louro, LCSW
• Antoinette Martin, REGISTERED NURSE
• Dawlat Matari, APN

• Family Nurse Practitioner in Pequannock, NJ
• Providers in Pequannock, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2019; 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.

Verify at the official NPI Registry.