Individual provider Active NPI

Koral Liriano

  • Psychiatric/Mental Health Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1245918564
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F404730-01 Issued in NY
Practice address
975 Westchester Ave
Bronx, NY 10459-3204
Phone
(718) 320-4466
Fax
(718) 991-3829
NPI assigned
Jul 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F404730-01 NY Primary

Addresses

Primary practice location

975 Westchester Ave
Bronx, NY 10459-3204

Mailing address

60 Madison Ave
New York, NY 10010-1600
Phone (212) 545-2400

Other practice location 1

350 Grand St Rm 240
New York, NY 10002-4629
Phone (212) 634-7550 ext. 7556

Other practice location 2

89-44 164th St
Jamaica, NY 11432-6103
Phone (718) 523-2123

Other practice location 3

81 W 115th St
New York, NY 10026-3138
Phone (212) 426-0088

Other practice location 4

511 W 157TH St
New York, NY 10032-5058
Phone (212) 781-7979

Other practice location 5

255 E Houston St
New York, NY 10002-1013
Phone (212) 477-1120

Other practice location 6

425 E 25th St
New York, NY 10010-2547
Phone (212) 772-4000

Other practice location 7

999 Blake Ave
Brooklyn, NY 11208-3535
Phone (718) 277-8303

Other practice location 8

36-11 21st St
Long Island City, NY 11106-4505
Phone (718) 482-7772

Other practice location 9

1167 Nostrand Ave
Brooklyn, NY 11225-5417
Phone (718) 778-0198

Other practice location 10

2581 Atlantic Ave
Brooklyn, NY 11207-2412
Phone (718) 495-6700

Other practice location 11

504 W 158th St Fl 5
New York, NY 10032-7202
Phone (917) 521-3130 ext. 3130

Other practice location 12

4215 3rd Ave Fl 2
Bronx, NY 10457-4501
Phone (718) 294-5891

Other practice location 13

94-98 Manhattan Avenue
Brooklyn, NY 11206-2505
Phone (718) 388-0390

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
I20240215000343 NY Practitioner - Nurse Practitioner 1153765417 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Institute for Family HealthGroup PAC ID 9234048588, 188 clinicians

Practice addresses (Care Compare)

1420 Ferris PL
Suite 1
Bronx, NY 10461-3611
Phone (718) 239-1610

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F404730-01NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Institute for Family Health Current Accepting new patients
The Institute for Family Health CurrentSince Oct 2, 2024 Accepting new patients
The Institute for Family Health CurrentSince Oct 2, 2024 Accepting new patients
Community Healthcare Network, Inc. Past Accepting new patients

Locations

731 White Plains Rd
Bronx, NY 10473
Phone (718) 589-8324

1894 Walton Ave
Bronx, NY 10453
Phone (718) 583-2508

130 W Tremont Ave
Bronx, NY 10453
Phone (718) 299-3045

1420 Ferris Pl
Bronx, NY 10461
Phone (718) 239-1610

1420 Ferris Pl
Ste 1
Bronx, NY 10461
Phone (718) 239-1610

6 Healthy Way
Ellenville, NY 12428
Phone (845) 647-4500

11 Crum Elbow Rd
Hyde Park, NY 12538
Phone (845) 229-1020

1 Family Practice Dr
Kingston, NY 12401
Phone (845) 338-2562

140 Pine St
Kingston, NY 12401
Phone (844) 434-2778

279 Main St
New Paltz, NY 12561
Phone (845) 255-2930

251 W 80th St
New York, NY 10024

1824 Madison Ave
Fl 2
New York, NY 10035
Phone (212) 423-4200

1824 Madison Ave
New York, NY 10035
Phone (212) 423-4200

230 W 17th St
New York, NY 10011
Phone (212) 989-8999

690 Amsterdam Ave
New York, NY 10025
Phone (212) 865-4104

601 W 114th St
New York, NY 10025
Phone (212) 280-1284

16 E 16th St
New York, NY 10003
Phone (212) 633-0800

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": "1688601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1245918564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 MADISON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100101600",
            "telephone_number": "212-545-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 WESTCHESTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104593204",
            "telephone_number": "718-320-4466",
            "fax_number": "718-991-3829"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 Grand St Rm 240",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100024629",
            "country_code": "US",
            "telephone_number": "212-634-7550 x7556",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "89-44 164th St",
            "address_purpose": "LOCATION",
            "city": "Jamaica",
            "state": "NY",
            "postal_code": "114326103",
            "country_code": "US",
            "telephone_number": "718-523-2123",
            "fax_number": "718-523-5833",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "81 W 115th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100263138",
            "country_code": "US",
            "telephone_number": "212-426-0088",
            "fax_number": "212-426-8367",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "511 W 157TH ST",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100325058",
            "country_code": "US",
            "telephone_number": "212-781-7979",
            "fax_number": "212-781-7963",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "255 E Houston St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100021013",
            "country_code": "US",
            "telephone_number": "212-477-1120",
            "fax_number": "212-477-8957",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "425 E 25th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100102547",
            "country_code": "US",
            "telephone_number": "212-772-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "999 Blake Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112083535",
            "country_code": "US",
            "telephone_number": "718-277-8303",
            "fax_number": "718-277-4795",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "36-11 21st St",
            "address_purpose": "LOCATION",
            "city": "Long Island City",
            "state": "NY",
            "postal_code": "111064505",
            "country_code": "US",
            "telephone_number": "718-482-7772",
            "fax_number": "718-482-9648",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1167 Nostrand Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112255417",
            "country_code": "US",
            "telephone_number": "718-778-0198",
            "fax_number": "718-221-8169",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2581 Atlantic Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112072412",
            "country_code": "US",
            "telephone_number": "718-495-6700",
            "fax_number": "646-988-2840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "504 W 158th St Fl 5",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100327202",
            "country_code": "US",
            "telephone_number": "917-521-3130 x3130",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4215 3rd Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104574501",
            "country_code": "US",
            "telephone_number": "718-294-5891",
            "fax_number": "718-294-2468",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "94-98 Manhattan Avenue",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112062505",
            "country_code": "US",
            "telephone_number": "718-388-0390",
            "fax_number": "718-486-5741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIRIANO",
        "first_name": "KORAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-06",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F404730-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.