Individual provider Active NPI

Roji Gurung

  • Family Nurse Practitioner
  • Binghamton, NY
National Provider Identifier
1558746594
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F339756-1 Issued in NY
Practice address
169 Riverside Dr
Binghamton, NY 13905-4246
Phone
(607) 798-5017
Fax
(607) 798-5093
NPI assigned
Jul 20, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F339756-1 NY Primary

Addresses

Primary practice location

169 Riverside Dr
Binghamton, NY 13905-4246

Mailing address

169 Riverside Dr
Binghamton, NY 13905-4246
Phone (607) 798-5111

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address roji.gurung@direct.lourdes.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CO2 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
I20151015000507 NY Practitioner - Nurse Practitioner 4587973466 Reassigns benefits to 1 organization
I20220503001741 CO Practitioner - Nurse Practitioner 4587973466 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3101 Shippers Rd
Suite 203
Vestal, NY 13850-2082
Phone (607) 786-4822

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F339756-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Our Lady of Lourdes Memorial Hospital, Inc. CurrentSince Aug 21, 2015 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Jan 25, 2022 Accepting new patients
Our Lady of Lourdes Memorial Hospital Inc. Current Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Jan 25, 2022 Accepting new patients
Our Lady of Lourdes Memorial Hospital, Inc. CurrentSince Aug 21, 2015 Accepting new patients
Twin Tier Pathology Associates, PC Current Accepting new patients

Locations

9116 W Bowles Ave
Ste 3A
Littleton, CO 80123
Phone (303) 904-2600

169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111

500 5th Ave
Owego, NY 13827
Phone (607) 687-1122

3101 Shippers Rd
Ste 203
Vestal, NY 13850
Phone (607) 786-4822

Interoperability endpoints

  • Direct secure messaging: rgurung196762@direct-guthrie.org
  • Direct secure messaging: roji.gurung.1@30520.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1437350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1558746594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 RIVERSIDE DR",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139054246",
            "telephone_number": "607-798-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 RIVERSIDE DR",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139054246",
            "telephone_number": "607-798-5017",
            "fax_number": "607-798-5093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GURUNG",
        "first_name": "ROJI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-20",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F339756-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "roji.gurung@direct.lourdes.com",
            "affiliation": "N",
            "endpointDescription": "Ascension Lourdes",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "169 Riverside Dr",
            "city": "Binghamton",
            "state": "NY",
            "country_code": "US",
            "postal_code": "139054246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Binghamton, NY

Sources for this page

Verify at the official NPI Registry.