Active NPI
Nisha E Arikupurathu, CNM
- Lactation Consultant (Registered Nurse)
- Jamaica, NY
National Provider Identifier
1639401797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Registered Nurse)
- License
- 572697
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03484791 | Medicaid | NY |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Hospital
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 001343 | NY | MD | Behavioral Analyst |
| 572697 | NY | MD | Lactation Consultant (Registered Nurse) |
| F001343 | NY | MD | Midwife |
Practice roles (3 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jamaica Hospital | Current | Accepting new patients | |
| Jamaica Hospital | Current | Accepting new patients | |
| TJH Medical Services, P.C. | Past | 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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Jamaica, NY
- NPI 1477505220
NY
-
- Skilled Nursing Facility
- Jamaica, NY
- NPI 1750516795
-
- General Acute Care Hospital
- Richmond Hill, NY
- NPI 1245370717
-
- Psychiatric Hospital Unit
- Jamaica, NY
- NPI 1669505301
-
- Rehabilitation Hospital Unit
- Jamaica, NY
- NPI 1982737136
-
- Internal Medicine Physician
- Jamaica, NY
- NPI 1184670465
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.