Individual provider Active NPI

Nervanie Kumar, NP

  • Nurse Practitioner
  • Hollis, NY
National Provider Identifier
1548025612
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F311574-01 Issued in NY
Practice address
10237 189TH St
Hollis, NY 11423-3117
Phone
(347) 593-0799
NPI assigned
Feb 19, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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 F311574-01 NY Primary

Addresses

Primary practice location

10237 189TH St
Hollis, NY 11423-3117

Mailing address

10237 189TH St
Hollis, NY 11423-3117
Phone (347) 593-0799

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
I20240507004269 NY Practitioner - Nurse Practitioner 9234570383 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
311574NYMDNephrology Physician
F311574-01NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minzer Medical PC CurrentSince Mar 23, 2024 Accepting new patients

Locations

135 Linden Blvd
Brooklyn, NY 11226
Phone (718) 576-7000

14227 Franklin Ave
Flushing, NY 11355
Phone (516) 205-3663

48 Frost Ln
#1
Lawrence, NY 11559

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": "1708300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1548025612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10237 189TH ST",
            "city": "HOLLIS",
            "state": "NY",
            "postal_code": "114233117",
            "telephone_number": "347-593-0799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10237 189TH ST",
            "city": "HOLLIS",
            "state": "NY",
            "postal_code": "114233117",
            "telephone_number": "347-593-0799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "NERVANIE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F311574-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollis, NY

Sources for this page

Verify at the official NPI Registry.