Individual provider Active NPI

Tka Edwards, NP

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1457061871
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
350139 Issued in NY
Practice address
2256 2ND Ave FL 2
New York, NY 10029-2280
Phone
(212) 758-7777
NPI assigned
Nov 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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 350139 NY Primary

Addresses

Primary practice location

2256 2ND Ave FL 2
New York, NY 10029-2280

Mailing address

2256 2ND Ave FL 2
New York, NY 10029-2280
Phone (212) 758-7777

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
I20240108004838 NY Practitioner - Nurse Practitioner 5597116160 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bukhman MD PCGroup PAC ID 2961402946, 8 clinicians

Practice addresses (Care Compare)

2256 2ND Ave
FL 3
New York, NY 10029-2202
Phone (212) 758-7777

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
350139NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bukhman MD PC CurrentSince Nov 12, 2023 Accepting new patients
Org Medical PLLC PastSince Apr 1, 2008 Accepting new patients

Locations

2256 2nd Ave
Fl 3
New York, NY 10029
Phone (212) 222-0075

Networks

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1457061871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2256 2ND AVE FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100292280",
            "telephone_number": "212-758-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2256 2ND AVE FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100292280",
            "telephone_number": "212-758-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "TKA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-28",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "350139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.