Individual provider Active NPI

Andrea Suzanne Jurgrau-Voulgaris, NP

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1710018759
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F336879 Issued in NY
Practice address
315 W 50TH St
New York, NY 10019-6811
Phone
(212) 582-5006
Fax
(646) 478-8829
NPI assigned
Mar 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X F380177 NY
Family Nurse Practitioner 363LF0000X F336879 NY Primary

Addresses

Primary practice location

315 W 50TH St
New York, NY 10019-6811

Mailing address

6255 W Sunset Blvd FL 21
Los Angeles, CA 90028-7422
Phone (323) 860-5200

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251104002379 NY Practitioner - Nurse Practitioner 4284857921 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1984
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

622 W 168TH St
New York, NY 10032-3720

8390 Champions Gate Blvd
Suite 220
Champions Gate, FL 33896-8310

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F336879NYMDFamily Nurse Practitioner
F380177NYMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MVP Medical Practice PC Current Accepting new patients
Ajs Brooklyn Medical Practice PC CurrentSince Aug 14, 2025 Accepting new patients

Locations

6255 W Sunset Blvd
Fl 21
Los Angeles, CA 90028
Phone (323) 860-5200

30 W 60th St
Apt An
New York, NY 10023
Phone (212) 247-6575

315 W 50th St
New York, NY 10019
Phone (212) 333-7661

Interoperability endpoints

  • Direct secure messaging: jurgrau@direct.nyp.org
  • Direct secure messaging: andrea.jurgrau.1@26356.direct.athenahealth.com

Organizations & group practices 2

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": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1710018759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6255 W SUNSET BLVD FL 21",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900287422",
            "telephone_number": "323-860-5200",
            "fax_number": "323-467-7119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W 50TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100196811",
            "telephone_number": "212-582-5006",
            "fax_number": "646-478-8829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JURGRAU-VOULGARIS",
        "first_name": "ANDREA",
        "middle_name": "SUZANNE",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "F380177",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F336879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.