Katushia Paul

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

308119 Issued in NY

Practice address

774 Manor Rd
Suite 204
Staten Island, NY 10314-7038

Phone

(718) 496-2542

NPI assigned

Feb 28, 2017

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: katushia.paul.1@30409.direct.athenahealth.com
• FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
• Direct secure messaging: kpaul1367058@nychhc.direct-ci.com
• FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

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.

• Medical Care at Home PC

  • Internal Medicine Physician
  • New York, NY
  • NPI 1811138415
  Medicare reassignment NPD
• Rd Medical Professional Services PC

  • Family Medicine Physician
  • Staten Island, NY
  • NPI 1811643166
  Medicare reassignment NPD
• Visiting Medical PC

  • Internal Medicine Physician
  • Spring Valley, NY
  • NPI 1922752880
  Medicare reassignment NPD
• Renew Medical of New York, PLLC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1356979447
  Medicare reassignment
• Aging Well RN NP Family Health PLLC

  • Primary Care Nurse Practitioner
  • Staten Island, NY
  • NPI 1629202478

  Adult Health

  NPD (past)
• Shahzad Iqbal Physician PLLC

  • Gastroenterology Physician
  • Queens Village, NY
  • NPI 1316331168
  NPD (past)
• The New York and Presbyterian Hospital

  • General Acute Care Hospital
  • New York, NY
  • NPI 1952332801
  NPD (past)

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

{
    "created_epoch": "1488240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488240000000",
    "number": "1396285185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "774 MANOR RD",
            "address_2": "SUITE 204",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103147038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "774 MANOR RD",
            "address_2": "SUITE 204",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103147038",
            "telephone_number": "718-496-2542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL",
        "first_name": "KATUSHIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-28",
        "last_updated": "2017-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "308119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Mitchell Kelleher
• Dzeneta Paul-Bazil
• Elsie Paul
• Elzbieta Paul
• Joseph Paul, PHARM.D
• Lisa Paul, PA - C
• Reginald Paul, LMSW
• Renald Paul, CDN
• Pauline Izzo, Nurse Practitioner in Family Health PC
• Princy Mary Paulose, PA-C

• Adult Health Nurse Practitioner in Staten Island, NY
• Providers in Staten Island, 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 Feb 28, 2017; 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.