Individual provider Active NPI

Kester King Javate Payumo, MSN, RN, FNP-C, CEN

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1790457208
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
348070 Issued in NY
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

Updated by the provider on Oct 18, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211206001562 NY Practitioner - Nurse Practitioner 8729478789 Reassigns benefits to 2 organizations

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

LicenseStateTypeSpecialty
26NR18592200NJMDRegistered Nurse
675482NYMDEmergency Registered Nurse
26NJ01206800NJMDFamily Nurse Practitioner
348070NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Group of New York, P.C. Family CurrentSince Oct 19, 2021 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jun 1, 2022 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jun 1, 2022 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.