Active NPI
Kester King Javate Payumo, MSN, RN, FNP-C, CEN
- Family Nurse Practitioner
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 348070
- Practice address
- 305 E 86TH St
New York, NY 10028-4702 - Phone
- (201) 407-5221
- NPI assigned
- Oct 3, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 348070 | NY | Primary |
| Registered Nurse | 163W00000X | 26NR18592200 | NJ | |
| Emergency Registered Nurse | 163WE0003X | 675482 | NY | |
| Family Nurse Practitioner | 363LF0000X | 26NJ01206800 | NJ |
Addresses
Primary practice location
305 E 86TH St
New York, NY 10028-4702
Mailing address
531 Avenue E
Bayonne, NJ 07002-3926
Phone (201) 407-5221
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10 Union SQ E
New York, NY 10003-3314
Phone (212) 844-8823
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NR18592200 | NJ | MD | Registered Nurse |
| 675482 | NY | MD | Emergency Registered Nurse |
| 26NJ01206800 | NJ | MD | Family Nurse Practitioner |
| 348070 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Group of New York, P.C. | Family | Current | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Past | Accepting new patients |
Locations
107 S Country Rd
Bellport, NY 11713
Phone (631) 286-2222
1523 Voorhies Ave
Brooklyn, NY 11235
Phone (718) 524-3600
132 Greenpoint Ave
Brooklyn, NY 11222
Phone (718) 752-7280
7960 Metropolitan Ave
Middle Village, NY 11379
Phone (718) 326-4910
10 Union Sq E
New York, NY 10003
Phone (212) 253-6800
67 Irving Pl
New York, NY 10003
Phone (212) 777-8900
281 1st Ave
New York, NY 10003
Phone (212) 844-1808
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Organizations & group practices 4
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.
-
dba Cardio Vascular Institute of Mount Sinai
- Cardiovascular Disease Physician
- New York, NY
- NPI 1487912416
-
- Family Nurse Practitioner
- Eastchester, NY
- NPI 1487983516
-
dba New York Eye & Ear Optical Shop
- Eyewear Supplier
- New York, NY
- NPI 1760227466
-
dba OB/GYN Department of Mount Sinai
- Obstetrics & Gynecology Physician
- New York, NY
- NPI 1124392212
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1174689665
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1174768071
-
- Substance Use Disorder Rehabilitation Hospital Unit
- New York, NY
- NPI 1770951204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634515200000",
"number": "1790457208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "531 AVENUE E",
"city": "BAYONNE",
"state": "NJ",
"postal_code": "070023926",
"telephone_number": "201-407-5221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 E 86TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100284702",
"telephone_number": "201-407-5221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYUMO",
"first_name": "KESTER KING",
"middle_name": "JAVATE",
"name_prefix": "Mr.",
"credential": "MSN, RN, FNP-C, CEN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-10-03",
"last_updated": "2021-10-18",
"certification_date": "2021-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "348070",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NJ",
"license": "26NR18592200",
"primary": false
},
{
"code": "163WE0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Emergency",
"state": "NY",
"license": "675482",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NJ",
"license": "26NJ01206800",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; 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.