Individual provider Active NPI

Kakoli Halder

  • Medical-Surgical Registered Nurse
  • Bronx, NY
National Provider Identifier
1356146559
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical-Surgical Registered NurseTaxonomy code 163WM0705X
License
973555 Issued in NY
Practice address
2265 Westchester Ave Apt 2D
Bronx, NY 10462-5064
Phone
(917) 442-8582
NPI assigned
Feb 13, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice Registered Nurse 163WH1000X 973555 NY
Infusion Therapy Registered Nurse 163WI0500X 973555 NY
Registered Nurse 163W00000X 973555 NY
Home Health Registered Nurse 163WH0200X 973555 NY
Nurse Massage Therapist (NMT) 163WM1400X 973555 NY
Wound Care Registered Nurse 163WW0000X 973555 NY
Ostomy Care Registered Nurse 163WX1500X 973555 NY
Medical-Surgical Registered Nurse 163WM0705X 973555 NY Primary

Addresses

Primary practice location

2265 Westchester Ave Apt 2D
Bronx, NY 10462-5064

Mailing address

2265 Westchester Ave Apt 2D
Bronx, NY 10462-5064
Phone (917) 442-8582

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
973555NYMDHospice Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1739404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1356146559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2265 WESTCHESTER AVE APT 2D",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104625064",
            "telephone_number": "917-442-8582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2265 WESTCHESTER AVE APT 2D",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104625064",
            "telephone_number": "917-442-8582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALDER",
        "first_name": "KAKOLI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-13",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH1000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hospice",
            "state": "NY",
            "license": "973555",
            "primary": false
        },
        {
            "code": "163WI0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "NY",
            "license": "973555",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "973555",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NY",
            "license": "973555",
            "primary": false
        },
        {
            "code": "163WM1400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Nurse Massage Therapist (NMT)",
            "state": "NY",
            "license": "973555",
            "primary": false
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "NY",
            "license": "973555",
            "primary": false
        },
        {
            "code": "163WX1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ostomy Care",
            "state": "NY",
            "license": "973555",
            "primary": false
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "NY",
            "license": "973555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.