Individual provider Active NPI

Bianca D Van Kust, MD

  • Pediatrics Physician
  • Bronx, NY
National Provider Identifier
1396798526
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
261169 Issued in NY
Practice address
2044 Westchester Avenue
Bronx, NY 10462-4559
Phone
(646) 680-5200
Fax
(646) 751-6937
NPI assigned
May 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 261169 NY Primary

Addresses

Primary practice location

2044 Westchester Avenue
Bronx, NY 10462-4559

Mailing address

104 Fulton Ave
Poughkeepsie, NY 12603-2808
Phone (845) 452-1700

Other practice location 1

4337 Broadway
New York, NY 10033-2411
Phone (212) 568-6300

Other practice location 2

932 Southern Boulevard
Bronx, NY 10459-4506
Phone (646) 680-5250

Other practice location 3

104 Fulton Ave
Poughkeepsie, NY 12603-2808
Phone (845) 452-1700 ext. 1218

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170719002833 NY Practitioner - Pediatric Medicine 3072883388 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Advantagecare Physicians PC CurrentSince Jan 17, 2025 Accepting new patients
Siuc Medical PC CurrentSince Jun 17, 2023 Accepting new patients
Advantagecare Physicians PC CurrentSince Jan 17, 2025 Accepting new patients
Sun River Health Inc Current Accepting new patients

Locations

3360 Route 343
Amenia, NY 12501
Phone (845) 373-9006

326 E 149th St
Bronx, NY 10451
Phone (718) 585-6100

932 Southern Blvd
Bronx, NY 10459
Phone (646) 680-5200

2044 Westchester Ave
Frnt 1
Bronx, NY 10462
Phone (646) 680-5200

233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595

4337 Broadway
New York, NY 10033
Phone (212) 523-5201

55 Water St
Fl 2
New York, NY 10041

1050 Clove Rd
Staten Island, NY 10301
Phone (718) 816-6440

Networks

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

Interoperability endpoints

  • Direct secure messaging: bvankust52611@direct.acpny.com
  • FHIR API: https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4
  • Direct secure messaging: bvankust@direct.health-quest.org

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1396798526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 FULTON AVE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126032808",
            "telephone_number": "845-452-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2044 WESTCHESTER AVENUE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104624559",
            "telephone_number": "646-680-5200",
            "fax_number": "646-751-6937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4337 Broadway",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100332411",
            "country_code": "US",
            "telephone_number": "212-568-6300",
            "fax_number": "212-544-5094",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "932 Southern Boulevard",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104594506",
            "country_code": "US",
            "telephone_number": "646-680-5250",
            "fax_number": "646-751-6937",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "104 Fulton Ave",
            "address_purpose": "LOCATION",
            "city": "Poughkeepsie",
            "state": "NY",
            "postal_code": "126032808",
            "country_code": "US",
            "telephone_number": "845-452-1700 x1218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN KUST",
        "first_name": "BIANCA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "261169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.