Individual provider Active NPI

Kamla N Gurcharan, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Jamaica, NY
National Provider Identifier
1386095248
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F403878-01 Issued in NY
Practice address
16403 Hillside Ave
Jamaica, NY 11432-4140
Phone
(718) 554-8072
NPI assigned
Jun 22, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 307744 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F403878-01 NY Primary

Addresses

Primary practice location

16403 Hillside Ave
Jamaica, NY 11432-4140

Mailing address

9343 215TH St
Queens Village, NY 11428-1707
Phone (718) 740-3594

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
I20170510000994 NY Practitioner - Nurse Practitioner 2466739917 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Patient First Medical Practice PCGroup PAC ID 0042687006, 33 clinicians
Medical Director Services PCGroup PAC ID 0042501116, 79 clinicians

Practice addresses (Care Compare)

1256 E 31St St
Brooklyn, NY 11210-4741
Phone (718) 534-0689

19544 Woodhull Ave
Hollis, NY 11423-2982
Phone (718) 740-3500

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F403878-01NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Boro Park Operating Co LLC CurrentSince Mar 1, 2021 Accepting new patients
Adult Choice NP in Adult Heath PLLC CurrentSince Sep 8, 2019 Accepting new patients
Medical Director Services PC CurrentSince Apr 1, 2017 Accepting new patients
JDS Medical Services PC CurrentSince Dec 9, 2025 Accepting new patients
Bleuler Psychotherapy Center, Inc. CurrentSince Oct 10, 2022 Accepting new patients
Patient First Medical Practice PC CurrentSince Jul 26, 2023 Accepting new patients

Locations

1160 Teller Ave
Bronx, NY 10456
Phone (718) 215-4355

4915 10th Ave
Brooklyn, NY 11219
Phone (718) 851-3700

50 Sheffield Ave
Brooklyn, NY 11207
Phone (718) 250-8789

1311 Virginia St
Far Rockaway, NY 11691
Phone (718) 327-2908

10470 Queens Blvd
Ste 200
Forest Hills, NY 11375
Phone (866) 404-6913

19544 Woodhull Ave
Jamaica, NY 11423
Phone (718) 336-2345

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/bleulerpc/r4/

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": "1466553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1386095248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9343 215TH ST",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114281707",
            "telephone_number": "718-740-3594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16403 HILLSIDE AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114324140",
            "telephone_number": "718-554-8072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GURCHARAN",
        "first_name": "KAMLA",
        "middle_name": "N",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-22",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "307744",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F403878-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

Verify at the official NPI Registry.