Active NPI
Ravneet Kaur, PEER SPECIALIST
- Peer Specialist
- New York, NY
National Provider Identifier
1558096016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- NYCPSB-P-4567
- Practice address
- 2260 Adam Clayton Powell Jr Blvd
New York, NY 10030-3004 - Phone
- (646) 531-4074
- NPI assigned
- Jul 19, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | NYCPSB-P-4567 | NY | Primary |
Addresses
Primary practice location
2260 Adam Clayton Powell Jr Blvd
New York, NY 10030-3004
Mailing address
2260 Adam Clayton Powell Jr Blvd
New York, NY 10030-3004
Phone (646) 531-4074
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rkaur@thebridgeny.org | Direct | The Bridge Inc. |
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
| License | State | Type | Specialty |
|---|---|---|---|
| NYCPSB-P-4567 | NY | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658188800000",
"number": "1558096016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2260 ADAM CLAYTON POWELL JR BLVD",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100303004",
"telephone_number": "646-531-4074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2260 ADAM CLAYTON POWELL JR BLVD",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100303004",
"telephone_number": "646-531-4074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAUR",
"first_name": "RAVNEET",
"credential": "PEER SPECIALIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-19",
"last_updated": "2022-07-19",
"certification_date": "2022-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "NY",
"license": "NYCPSB-P-4567",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rkaur@thebridgeny.org",
"affiliation": "Y",
"affiliationName": "The Bridge Inc.",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2260 Adam Clayton Powell Jr Blvd",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100303004",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jul 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.