Individual provider Active NPI

Kendra Urdang, RN

  • Advanced Practice Midwife
  • Brooklyn, NY
National Provider Identifier
1356908438
Registry record updated Sep 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
F001933 Issued in NY
Practice address
592 Rockaway Ave
Brooklyn, NY 11212-5539
Phone
(718) 345-5000
Fax
(718) 345-5794
NPI assigned
May 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 769318 NY
Advanced Practice Midwife 367A00000X F001933 NY Primary

Addresses

Primary practice location

592 Rockaway Ave
Brooklyn, NY 11212-5539

Mailing address

592 Rockaway Ave
Brooklyn, NY 11212-5539
Phone (718) 345-5000

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210628000263 NY Practitioner - Certified Nurse Midwife (CNM) 6103227293 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Registered Nurse

State licenses

LicenseStateTypeSpecialty
769318NYMDRegistered Nurse
001933NYMDAudiologist
F001933NYMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
City of New York Office of Payroll Administration CurrentSince Jun 20, 2025 Accepting new patients
City of New York Office of Payroll Administration CurrentSince Jun 20, 2025 Accepting new patients
City of New York Office of Payroll Administration Current Accepting new patients
City of New York Office of Payroll Administration Past Accepting new patients
City of New York Office of Payroll Administration Past Accepting new patients
City of New York Office of Payroll Administration Past Accepting new patients

Locations

1218 Prospect Pl
#M
Brooklyn, NY 11213
Phone (718) 953-8208

295 Flatbush Avenue Ext
Brooklyn, NY 11201
Phone (212) 566-3587

3433 Junction Blvd
Fl 2
Jackson Heights, NY 11372
Phone (718) 396-5134

9037 Parsons Blvd
Jamaica, NY 11432
Phone (718) 262-5521

4209 28th St
#17
Long Island City, NY 11101
Phone (347) 396-2686

4209 28th St
#15111
Long Island City, NY 11101
Phone (347) 396-4853

600 W 168th St
New York, NY 10032
Phone (212) 566-3587

2238 5th Ave
New York, NY 10037
Phone (646) 698-4405

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1558569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569283200000",
    "number": "1356908438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "592 ROCKAWAY AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112125539",
            "telephone_number": "718-345-5000",
            "fax_number": "718-345-5794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "592 ROCKAWAY AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112125539",
            "telephone_number": "718-345-5000",
            "fax_number": "718-345-5794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URDANG",
        "first_name": "KENDRA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-23",
        "last_updated": "2019-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "769318",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NY",
            "license": "F001933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.