Individual provider Active NPI

Karrolyn Belkis, ADULT NURSE PRACTITI

  • Adult Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1467878504
Registry record updated Mar 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F300332 Issued in NY
Practice address
1919 Madison Avenue
Apt 700
New York, NY 10035-2738
Phone
(212) 592-3611
NPI assigned
Mar 13, 2014
Last updated
Mar 13, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F300332 NY Primary

Addresses

Primary practice location

1919 Madison Avenue
Apt 700
New York, NY 10035-2738

Mailing address

1919 Madison Avenue
Apt 700
New York, NY 10035-2738
Phone (212) 592-3611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
F300332NYMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1394668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394668800000",
    "number": "1467878504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 MADISON AVENUE",
            "address_2": "APT 700",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100352738",
            "telephone_number": "212-592-3611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 MADISON AVENUE",
            "address_2": "APT 700",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100352738",
            "telephone_number": "212-592-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELKIS",
        "first_name": "KARROLYN",
        "name_prefix": "Ms.",
        "credential": "ADULT NURSE PRACTITI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-13",
        "last_updated": "2014-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F300332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.