Brian Cujilan

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

311651 Issued in NY

Practice address

68 Jefferson St
Franklin Square, NY 11010-2420

Phone

(516) 474-5080

NPI assigned

Dec 1, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Networks

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

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.

• BC Nurse Practitioner in Adult Health PLLC

  • Adult Health Nurse Practitioner
  • Rockville Centre, NY
  • NPI 1831997303
  Medicare reassignment NPD Authorized official
• Peyman Younesi MD PLLC

  • Internal Medicine Physician
  • Fresh Meadows, NY
  • NPI 1891053328
  Medicare reassignment NPD
• Oda Primary Health Care Network, Inc.

  • Primary Care Clinic/Center
  • Brooklyn, NY
  • NPI 1720177066
  NPD (past)

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

{
    "created_epoch": "1701388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1376319210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 JACKSON AVE",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115703110",
            "telephone_number": "516-474-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 JEFFERSON ST",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "110102420",
            "telephone_number": "516-474-5080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUJILAN",
        "first_name": "BRIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-12-01",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "311651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corporation Name:Kamil,Corp.
• Salvatore Costa, PHARM D
• Angela Costelli, SLP
• Lanie Ann Kelsey Crews Pires, DPT
• Margie Crisostomo
• CVS Albany LLC
• Stefanie D'Amato
• Kristine Nicole D'Antonio
• Ellen Dabrowski
• Steven Dangelo, P.T.

• Adult Health Nurse Practitioner in Franklin Square, NY
• Providers in Franklin Square, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.