Individual provider Active NPI

Kandace O Tulk, PA

  • Physician Assistant
  • Brooklyn, NY
National Provider Identifier
1487080222
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
027866 Issued in NY
Practice address
672 Parkside Ave Ste 2
Brooklyn, NY 11226-2990
Phone
(718) 540-7440
Fax
(718) 540-7441
NPI assigned
Sep 25, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 027866 NY Primary

Addresses

Primary practice location

672 Parkside Ave Ste 2
Brooklyn, NY 11226-2990

Mailing address

672 Parkside Ave Ste 2
Brooklyn, NY 11226-2990
Phone (718) 540-7440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140103000997 TX Practitioner - Physician Assistant 0840428439 Reassigns benefits to 4 organizations
I20250814001211 NY Practitioner - Physician Assistant 0840428439 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

PO Box
Suite 250
Ithaca, NY 14851

PO Box
Suite 250
Ithaca, NY 14851-0250

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Questcare Medical Services, PLLC Physician Assistant CurrentSince Nov 13, 2019 Accepting new patients
Questcare Medical Services, PLLC Physician Assistant CurrentSince Nov 13, 2019 Accepting new patients
St. David'S Carenow Urgent Care PLLC Past Accepting new patients

Locations

7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

Interoperability endpoints

  • Direct secure messaging: kandace.tulk.p1@direct.ezramedical.nextgenshare.com
  • Direct secure messaging: ktulk1540322@nychhc.direct-ci.com
  • Direct secure messaging: ktulk70087@direct.xtensys.com

Organizations & group practices 8

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": "1380067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1487080222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "672 PARKSIDE AVE STE 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112262990",
            "telephone_number": "718-540-7440",
            "fax_number": "718-540-7441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "672 PARKSIDE AVE STE 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112262990",
            "telephone_number": "718-540-7440",
            "fax_number": "718-540-7441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TULK",
        "first_name": "KANDACE",
        "middle_name": "O",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-25",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "027866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.