Individual provider Active NPI

Sheeja Kurian

  • Family Nurse Practitioner
  • Yonkers, NY
National Provider Identifier
1376105163
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F344192-1 Issued in NY
Practice address
984 N Broadway
Yonkers, NY 10701-1318
Phone
(914) 410-3633
NPI assigned
Jul 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F344192-1 NY Primary

Addresses

Primary practice location

984 N Broadway
Yonkers, NY 10701-1318

Mailing address

23 Baldwin Hills Rd
Millwood, NY 10546-1002

Other practice location 1

4256 Bronx Blvd
Bronx, NY 10466-2672
Phone (718) 515-4347

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
I20191204002350 NY Practitioner - Nurse Practitioner 9739512781 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F344192-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Care, P.C. CurrentSince Jan 6, 2020 Accepting new patients
Optum Medical Care, P.C. CurrentSince Jan 6, 2020 Accepting new patients
Montefiore Medical Center CurrentSince Oct 15, 2021 Accepting new patients
Montefiore Medical Center CurrentSince Oct 15, 2021 Accepting new patients

Locations

1521 Jarret Pl
Bronx, NY 10461
Phone (718) 239-8733

1825 Eastchester Rd
Bronx, NY 10461
Phone (718) 904-2000

1250 Waters Pl
Bronx, NY 10461
Phone (718) 409-9444

111 E 210th St
Bronx, NY 10467

1575 Blondell Ave
Bronx, NY 10461
Phone (718) 405-8260

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

984 N Broadway
Yonkers, NY 10701
Phone (914) 751-5432

Philadelphia, PA 19195

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: shkuria@montefioredirect.com

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": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1376105163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 BALDWIN HILLS RD",
            "city": "MILLWOOD",
            "state": "NY",
            "postal_code": "105461002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "984 N BROADWAY",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011318",
            "telephone_number": "914-410-3633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4256 Bronx Blvd",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104662672",
            "country_code": "US",
            "telephone_number": "718-515-4347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KURIAN",
        "first_name": "SHEEJA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-02",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F344192-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

Verify at the official NPI Registry.