Individual provider Active NPI

Rupinderjit Kaur Multani

  • Adult Health Nurse Practitioner
  • Valley Stream, NY
National Provider Identifier
1255003745
Registry record updated Oct 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F310465-01 Issued in NY
Practice address
1220 Barry Dr S
Valley Stream, NY 11580-1531
Phone
(347) 849-3279
NPI assigned
Oct 2, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F310465-01 NY Primary

Addresses

Primary practice location

1220 Barry Dr S
Valley Stream, NY 11580-1531

Mailing address

1220 Barry Dr S
Valley Stream, NY 11580-1531

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
I20240807000887 NY Practitioner - Nurse Practitioner 4284171356 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
210 MJD Medical PLLCGroup PAC ID 5890918650, 3 clinicians
Divinity Medical Services PLLCGroup PAC ID 5193030245, 92 clinicians

Practice addresses (Care Compare)

228 Beach 20TH St
Far Rockaway, NY 11691-3618
Phone (929) 437-6161

3379 Crompond Rd
Yorktown Heights, NY 10598-3605
Phone (914) 930-5550

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F310465-01NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Divinity Medical Services PLLC CurrentSince Jun 29, 2024 Accepting new patients
210 MJD Medical, PLLC CurrentSince Jun 29, 2024 Accepting new patients

Locations

228 Beach 20th St
Far Rockaway, NY 11691
Phone (718) 471-5554

359 N Central Ave
Hartsdale, NY 10530
Phone (914) 448-2273

625 Rockaway Tpke
Ste 3
Lawrence, NY 11559
Phone (516) 871-3003

211 Broadway
Ste 205
Lynbrook, NY 11563
Phone (929) 219-0990

10234 Atlantic Ave
Ozone Park, NY 11416
Phone (347) 480-5287

3379 Crompond Rd
Yorktown Hts, NY 10598
Phone (914) 245-1111

Organizations & group practices 2

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": "1633132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633132800000",
    "number": "1255003745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 BARRY DR S",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115801531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 BARRY DR S",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115801531",
            "telephone_number": "347-849-3279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULTANI",
        "first_name": "RUPINDERJIT",
        "middle_name": "KAUR",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-02",
        "last_updated": "2021-10-02",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F310465-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

Verify at the official NPI Registry.