Jagdev Kaur, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

541992-1 Issued in NY

Practice address

333 Broadway Ste 2
Amityville, NY 11701-2719

Phone

(631) 789-2020

NPI assigned

May 15, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fulton Medical PCGroup PAC ID 8527201540, 19 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.71 of 100Reported as group

Quality

79.66

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Fulton Medical, P.C.

  • Internal Medicine Physician
  • Massapequa, NY
  • NPI 1841635133
  Medicare reassignment Care Compare group NPD
• Vinod Gulati, MD PLLC

  • Internal Medicine Physician
  • Amityville, NY
  • NPI 1730628611
  Medicare reassignment NPD

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

{
    "created_epoch": "1557878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557878400000",
    "number": "1639735681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 BROADWAY STE 2",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012719",
            "telephone_number": "631-789-2020",
            "fax_number": "631-789-5669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 BROADWAY STE 2",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012719",
            "telephone_number": "631-789-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUR",
        "first_name": "JAGDEV",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-15",
        "last_updated": "2019-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "541992-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE",
            "identifier": "541992-1",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE",
            "identifier": "F343114-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Parsa Karimi, DPT
• Manda M Karkhanis, MD
• Kartushka Home Care
• Kathleeen a Novick, M.a.,P.T.
• Gagandeep Kaur, N.P.
• Taylor L Kelly
• Alice Virginia Kernizan, LPN
• Lawrence Jay Kessler, DO
• Kevin Paul Cotterell, MD PC
• Abid Iqbal Khan, MD

• Nurse Practitioner in Amityville, NY
• Providers in Amityville, NY by specialty
• Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2019; 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.

Verify at the official NPI Registry.