Individual provider Active NPI

Temitope Branco, NP

  • Nurse Practitioner
  • Forest Hills, NY
National Provider Identifier
1831956457
Registry record updated Apr 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
827801 Issued in NY
Practice address
11835 Queens Blvd Ste 400
Forest Hills, NY 11375-7211
Phone
(646) 722-7610
NPI assigned
Feb 29, 2024
Last updated
Apr 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 827801 NY Primary

Addresses

Primary practice location

11835 Queens Blvd Ste 400
Forest Hills, NY 11375-7211

Mailing address

41 Eddie Ave
North Babylon, NY 11703
Phone (631) 748-0318

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
I20240315001048 NY Practitioner - Nurse Practitioner 2466898168 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CS Medical Associates, PCGroup PAC ID 9335401454, 63 clinicians

Practice addresses (Care Compare)

100 Granny Rd
Suite 1
Farmingville, NY 11738-2879
Phone (631) 696-4357

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Harmony Medical Services of New York, PLLC CurrentSince Apr 1, 2024 Accepting new patients
CS Medical Associates, P.C. CurrentSince Jun 28, 2025 Accepting new patients
CS Medical Associates, P.C. CurrentSince Jun 28, 2025 Accepting new patients
CS Medical Associates, P.C. Past Accepting new patients

Locations

100 Granny Rd
Farmingville, NY 11738
Phone (631) 698-7828

100 Granny Rd
Ste 1
Farmingville, NY 11738
Phone (631) 666-1234

11835 Queens Blvd
Ste 400
Forest Hills, NY 11375
Phone (646) 722-7610

1377 Motor Pkwy
Ste 102
Islandia, NY 11749

1802 Petracca Pl
Ste 103
Whitestone, NY 11357
Phone (646) 722-7610

Interoperability endpoints

  • Direct secure messaging: tbranco@victoryrecovery.medentdirect.com

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, 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": "1709164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712966400000",
    "number": "1831956457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 EDDIE AVE",
            "city": "NORTH BABYLON",
            "state": "NY",
            "postal_code": "11703",
            "telephone_number": "631-748-0318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11835 QUEENS BLVD STE 400",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113757211",
            "telephone_number": "646-722-7610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANCO",
        "first_name": "TEMITOPE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-29",
        "last_updated": "2024-04-13",
        "certification_date": "2024-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "827801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.