Individual provider Active NPI

Karen Tran

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1477399061
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
354496 Issued in NY
Practice address
5604 7TH Ave Ste 1
Brooklyn, NY 11220-4660
Phone
(917) 508-5888
NPI assigned
Jul 3, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 745373 NY
Family Nurse Practitioner 363LF0000X 354496 NY Primary

Addresses

Primary practice location

5604 7TH Ave Ste 1
Brooklyn, NY 11220-4660

Mailing address

1002 Harvard PL
Fort Lee, NJ 07024-1517

Other practice location 1

1927 86th St Apt 1
Brooklyn, NY 11214-3153
Phone (347) 509-6888

Other practice location 2

99 Bowery Fl 1
New York, NY 10002-4911
Phone (212) 756-6688

Other practice location 3

2691 Hylan Blvd Ste 6
Staten Island, NY 10306-4300
Phone (347) 973-6888

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
745373NYMDRegistered Nurse
354496NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Century Dermatology PC CurrentSince Jul 7, 2024 Accepting new patients

Locations

5604 7th Ave
Ste 1
Brooklyn, NY 11220
Phone (718) 360-7666

2691 Hylan Blvd
Ste 6
Staten Island, NY 10306
Phone (347) 973-6888

Organizations & group practices 1

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": "1719964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1477399061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 HARVARD PL",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070241517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5604 7TH AVE STE 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112204660",
            "telephone_number": "917-508-5888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1927 86th St Apt 1",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112143153",
            "country_code": "US",
            "telephone_number": "347-509-6888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "99 Bowery Fl 1",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100024911",
            "country_code": "US",
            "telephone_number": "212-756-6688",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2691 Hylan Blvd Ste 6",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103064300",
            "country_code": "US",
            "telephone_number": "347-973-6888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN",
        "first_name": "KAREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-03",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "745373",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "354496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; 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.