NPIMap

Organization Active NPI

Ko NP in Psychiatry PC

  • Psychiatric/Mental Health Nurse Practitioner
  • Elmont, NY
National Provider Identifier
1720711435
Registry record updated Jul 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
KO NP IN PSYCHIATRY PC
Practice address
1975 Linden Blvd
Elmont, NY 11003-4025
Phone
(917) 553-4040
Fax
(602) 581-7755
NPI assigned
Jul 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2022

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

Authorized official

Name
Mrs. Kira OppenheimNPI 1083737555
Title
President
Phone
(917) 553-4040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1975 Linden Blvd
Elmont, NY 11003-4025

Mailing address

262 Ardsley St
Staten Island, NY 10306-1632
Phone (917) 553-4040

Other names 1

  • KO NP in Psychiatry PC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL kiraopp@gmail.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1657238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657238400000",
    "number": "1720711435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 ARDSLEY ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103061632",
            "telephone_number": "917-553-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 LINDEN BLVD",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110034025",
            "telephone_number": "917-553-4040",
            "fax_number": "602-581-7755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KO NP IN PSYCHIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-08",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A",
        "authorized_official_last_name": "OPPENHEIM",
        "authorized_official_first_name": "KIRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-553-4040",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kiraopp@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1975 Linden Blvd",
            "city": "Elmont",
            "state": "NY",
            "country_code": "US",
            "postal_code": "110034025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "KO NP in Psychiatry PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elmont, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.