Individual provider Active NPI

Mariamma Kurian, NP

  • Family Nurse Practitioner
  • Carmel, NY
National Provider Identifier
1407537228
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F356004 Issued in NY
Practice address
667 Stoneleigh Ave Ste 117
Carmel, NY 10512-2455
Phone
(845) 279-5187
Fax
(855) 703-7570
NPI assigned
Jul 25, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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 F356004 NY Primary

Addresses

Primary practice location

667 Stoneleigh Ave Ste 117
Carmel, NY 10512-2455

Mailing address

111 Clock Tower CMNS
Brewster, NY 10509-4055
Phone (845) 279-5187

Other practice location 1

198 Route 22
Pawling, NY 12564-3241
Phone (845) 279-5187

Other practice location 2

888 Route 6
Mahopac, NY 10541-6201
Phone (845) 279-5187

Other practice location 3

111 Clock Tower Cmns
Brewster, NY 10509-4055
Phone (845) 279-5187

Other identifiers 1

IdentifierTypeStateIssuer
00821895MedicaidNY

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
I20250626003525 NY Practitioner - Nurse Practitioner 4789197484 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Mercy College, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northern Medical Group, PLLCGroup PAC ID 6901104157, 38 clinicians

Practice addresses (Care Compare)

111 Clock Towe CMNS
Brewster, NY 10509-4055
Phone (845) 279-5187

Hospital & facility affiliations

  • Putnam Hospital Center Hospital, Carmel, NY, CCN 330273

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F356004NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Medical Group, PLLC CurrentSince Aug 4, 2025 Accepting new patients

Locations

111 Clock Tower Cmns
Brewster, NY 10509
Phone (845) 592-4915

667 Stoneleigh Ave
Ste 117
Carmel, NY 10512
Phone (845) 230-5178

888 Route 6
Mahopac, NY 10541
Phone (845) 628-1492

198 Route 22
Ste 7
Pawling, NY 12564
Phone (845) 255-3010

198 Route 22
Pawling, NY 12564
Phone (845) 855-1475

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CJAHCA

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1690243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1407537228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 CLOCK TOWER CMNS",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105094055",
            "telephone_number": "845-279-5187",
            "fax_number": "855-703-7570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "667 STONELEIGH AVE STE 117",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105122455",
            "telephone_number": "845-279-5187",
            "fax_number": "855-703-7570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "198 Route 22",
            "address_purpose": "LOCATION",
            "city": "Pawling",
            "state": "NY",
            "postal_code": "125643241",
            "country_code": "US",
            "telephone_number": "845-279-5187",
            "fax_number": "855-703-7570",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "888 Route 6",
            "address_purpose": "LOCATION",
            "city": "Mahopac",
            "state": "NY",
            "postal_code": "105416201",
            "country_code": "US",
            "telephone_number": "845-279-5187",
            "fax_number": "855-703-7570",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 Clock Tower Cmns",
            "address_purpose": "LOCATION",
            "city": "Brewster",
            "state": "NY",
            "postal_code": "105094055",
            "country_code": "US",
            "telephone_number": "845-279-5187",
            "fax_number": "855-703-7570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KURIAN",
        "first_name": "MARIAMMA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-25",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F356004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00821895",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, NY

Sources for this page

Verify at the official NPI Registry.