Active NPI
Bgee E. Kunjumon
- Neonatal-Perinatal Medicine Physician
- Mineola, NY
National Provider Identifier
1427148469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- MA081350
- Practice address
- 222 Station PLZ N
Suite 611
Mineola, NY 11501-3800 - Phone
- (718) 630-7300
- NPI assigned
- Oct 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | MA081350 | NJ | Primary |
Addresses
Primary practice location
222 Station PLZ N
Suite 611
Mineola, NY 11501-3800
Mailing address
222 Station PLZ N
Suite 611
Mineola, NY 11501-3800
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bkunjumon44032@nyumc.direct-ci.com | Other | NYU Langone |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA081350 | NJ | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Current | Accepting new patients | |
| New York University | Current | Accepting new patients | |
| New York University | Current | Accepting new patients | |
| NYU Langone Hospitals | Past | Accepting new patients | |
| NYU Langone Hospitals | Past | Accepting new patients |
Locations
222 Station Plz N
Ste 611
Mineola, NY 11501
Phone (516) 663-2532
259 1st St
Mineola, NY 11501
Phone (516) 576-1820
550 1st Ave
New York, NY 10016
Phone (212) 263-3293
14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- bkunjumon44032@nyumc.direct-ci.com
Organizations & group practices 5
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.
-
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1619341716
-
- General Acute Care Hospital
- New York, NY
- NPI 1801992631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687910400000",
"number": "1427148469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 STATION PLZ N",
"address_2": "SUITE 611",
"city": "MINEOLA",
"state": "NY",
"postal_code": "115013800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 STATION PLZ N",
"address_2": "SUITE 611",
"city": "MINEOLA",
"state": "NY",
"postal_code": "115013800",
"telephone_number": "718-630-7300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUNJUMON",
"first_name": "BGEE",
"middle_name": "E.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-13",
"last_updated": "2023-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "NJ",
"license": "MA081350",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bkunjumon44032@nyumc.direct-ci.com",
"affiliation": "Y",
"affiliationName": "NYU Langone",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Other",
"address_1": "222 Station Plz N",
"address_2": "SUITE 611",
"city": "Mineola",
"state": "NY",
"country_code": "US",
"postal_code": "115013800",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Mineola, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.