Individual provider Active NPI

Resmi S Kurumunda

  • Nurse Practitioner
  • New York, NY
National Provider Identifier
1528721826
Registry record updated Oct 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F347352-01 Issued in NY
Practice address
15 Wadsworth Ave
New York, NY 10033-7034
Phone
(914) 462-8254
NPI assigned
Oct 14, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F347352-01 NY Primary

Addresses

Primary practice location

15 Wadsworth Ave
New York, NY 10033-7034

Mailing address

125 Old Colony Rd
Hartsdale, NY 10530-3610
Phone (914) 462-8254

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
I20221019002606 NY Practitioner - Nurse Practitioner 8820464639 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

341 Central Park Ave
Scarsdale, NY 10583-1301
Phone (914) 779-2995

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F347352-01NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Sinai School of Medicine of New York University CurrentSince Jun 17, 2022 Accepting new patients
Mount Sinai School of Medicine of New York University CurrentSince Jun 17, 2022 Accepting new patients

Locations

116 Fifth Ave
Pelham, NY 10803
Phone (914) 738-0005

341 Central Park Ave
Scarsdale, NY 10583
Phone (718) 676-5309

1010 N Broadway
Yonkers, NY 10701
Phone (914) 968-3535

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": "1634169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1528721826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 OLD COLONY RD",
            "city": "HARTSDALE",
            "state": "NY",
            "postal_code": "105303610",
            "telephone_number": "914-462-8254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 WADSWORTH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100337034",
            "telephone_number": "914-462-8254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURUMUNDA",
        "first_name": "RESMI",
        "middle_name": "S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-14",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F347352-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.