Individual provider Active NPI

Nisha E Arikupurathu, CNM

  • Lactation Consultant (Registered Nurse)
  • Jamaica, NY
National Provider Identifier
1639401797
Registry record updated Jul 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
572697 Issued in NY
Practice address
8906 135TH St
Suite 6a
Jamaica, NY 11418-2821
Phone
(718) 206-6808
NPI assigned
Feb 1, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X 572697 NY Primary
Midwife 176B00000X F001343 NY

Addresses

Primary practice location

8906 135TH St
Suite 6a
Jamaica, NY 11418-2821

Mailing address

74 Laurel Dr
New Hyde Park, NY 11040-2046

Other identifiers 1

IdentifierTypeStateIssuer
03484791MedicaidNY

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121017000525 NY Practitioner - Certified Nurse Midwife (CNM) 2567612112 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jamaica HospitalGroup PAC ID 2264324334, 252 clinicians

Practice addresses (Care Compare)

3080 Atlantic Ave
Brooklyn, NY 11208-1268
Phone (718) 647-0240

Merit-based Incentive Payment System (MIPS)

Final score
92.19 of 100Reported as group
Quality
82.16
Promoting interoperability
79
Improvement activities
40
Cost
75.98

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
001343NYMDBehavioral Analyst
572697NYMDLactation Consultant (Registered Nurse)
F001343NYMDMidwife

Practice roles (3 of 7)

OrganizationSpecialtyStatusNew patients
Jamaica Hospital CurrentSince Jul 1, 2019 Accepting new patients
Jamaica Hospital CurrentSince Jul 1, 2019 Accepting new patients
TJH Medical Services, P.C. PastSince Jul 1, 2009 Accepting new patients

Locations

3080 Atlantic Ave
Brooklyn, NY 11208
Phone (718) 647-0240

11120 Merrick Blvd
Jamaica, NY 11433
Phone (718) 206-7510

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

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.

NPI Registry JSON

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

{
    "created_epoch": "1264982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720224000000",
    "number": "1639401797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 LAUREL DR",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110402046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8906 135TH ST",
            "address_2": "SUITE 6A",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114182821",
            "telephone_number": "718-206-6808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARIKUPURATHU",
        "first_name": "NISHA",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-01",
        "last_updated": "2024-07-06",
        "certification_date": "2024-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "NY",
            "license": "572697",
            "primary": true
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NY",
            "license": "F001343",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03484791",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

Verify at the official NPI Registry.