Individual provider Active NPI

Sukhjit Kaur, FNP

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1801557178
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F348503-01 Issued in NY
Practice address
246 W 80TH St
FL 4 Ste 15
New York, NY 10024-5705
Phone
(315) 505-2400
Fax
(914) 505-2458
NPI assigned
Jan 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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 F348503-01 NY Primary
Family Nurse Practitioner 363LF0000X 348503-01 NY

Addresses

Primary practice location

246 W 80TH St
FL 4 Ste 15
New York, NY 10024-5705

Mailing address

2248 Broadway Ste 1329
New York, NY 10024-5805
Phone (315) 505-2400

Other identifiers 2

IdentifierTypeStateIssuer
07157555MedicaidNY
F348503-01OtherNYLICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://ehr.icanotes.com/~~srv33/software/html5.html Direct

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
I20220718003448 NY Practitioner - Nurse Practitioner 1052792447 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of New York at Stony Brook, School of Medicine, 2021
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Alquimedez Mental Health CounselingGroup PAC ID 0749536357, 3 clinicians

Practice addresses (Care Compare)

246 W 80TH St
New York, NY 10024-5705
Phone (315) 505-2400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
348503-01NYMDFamily Nurse Practitioner
F348503-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alquimedez Mental Health Counseling PLLC CurrentSince Feb 15, 2024 Accepting new patients

Locations

2248 Broadway
New York, NY 10024
Phone (917) 410-0223

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1641513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1801557178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2248 BROADWAY STE 1329",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100245805",
            "telephone_number": "315-505-2400",
            "fax_number": "315-505-2458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 W 80TH ST",
            "address_2": "FL 4 STE 15",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100245705",
            "telephone_number": "315-505-2400",
            "fax_number": "914-505-2458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUR",
        "first_name": "SUKHJIT",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-07",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F348503-01",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "348503-01",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07157555",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "F348503-01",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://ehr.icanotes.com/~~srv33/software/html5.html",
            "affiliation": "N",
            "endpointDescription": "EHR ICANotes",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "246 W 80th St",
            "address_2": "Fl 4 Ste 15",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100245705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.