Individual provider Active NPI

Ana Kurashvili

  • Family Nurse Practitioner
  • Wayne, NJ
National Provider Identifier
1710843644
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
360367 Issued in NY
Practice address
87 Berdan Ave Ste 3
Wayne, NJ 07470-3210
Phone
(973) 692-9780
NPI assigned
Jan 5, 2026
Last updated
Aug 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ15448300 NJ
Family Nurse Practitioner 363LF0000X 360367 NY Primary

Addresses

Primary practice location

87 Berdan Ave Ste 3
Wayne, NJ 07470-3210

Mailing address

180 Walnut St Apt B57
Montclair, NJ 07042-2966
Phone (973) 336-3764

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20260221000227 NJ Practitioner - Nurse Practitioner 4082195656 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Xbody Health and Wellness PAGroup PAC ID 8123346608, 8 clinicians

Practice addresses (Care Compare)

87 Berdan Ave
Suite 3
Wayne, NJ 07470-3210
Phone (973) 692-9780

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ15448300NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Xbody Health & Wellness PA CurrentSince Jan 12, 2026 Accepting new patients

Locations

87 Berdan Ave
Ste 3
Wayne, NJ 07470
Phone (973) 692-9780

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1767571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1710843644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 WALNUT ST APT B57",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422966",
            "telephone_number": "973-336-3764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 BERDAN AVE STE 3",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074703210",
            "telephone_number": "973-692-9780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURASHVILI",
        "first_name": "ANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-05",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15448300",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "360367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

Verify at the official NPI Registry.