Individual provider Active NPI

Kelly A. Tsang, FNP-BC

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1841921087
Registry record updated Jun 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
348580 Issued in NY
Practice address
2041 86TH St
Brooklyn, NY 11214-3203
Phone
(718) 266-2284
NPI assigned
Jun 20, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 348580 NY Primary

Addresses

Primary practice location

2041 86TH St
Brooklyn, NY 11214-3203

Mailing address

2041 86TH St
Brooklyn, NY 11214-3203

Other practice location 1

837 59th St
Brooklyn, NY 11220-3611
Phone (718) 680-8881

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
I20220804001148 NY Practitioner - Nurse Practitioner 8022490200 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Four Season Medical PLLCGroup PAC ID 1850666819, 6 clinicians

Practice addresses (Care Compare)

7112 Bay Pkwy
Brooklyn, NY 11204-6016
Phone (718) 680-8881

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Four Season Medical PLLC Family CurrentSince Jun 1, 2022 Accepting new patients
Well Wellness Medical PLLC Past Accepting new patients

Locations

837 59th St
Brooklyn, NY 11220
Phone (718) 975-8415

7116 Bay Pkwy
Brooklyn, NY 11204
Phone (718) 232-8500

7112 Bay Pkwy
Brooklyn, NY 11204
Phone (718) 232-8500

2041 86th St
Brooklyn, NY 11214
Phone (718) 266-2284

464 Nome Ave
Staten Island, NY 10314
Phone (347) 464-3150

1836 Hylan Blvd
Staten Island, NY 10305
Phone (347) 896-5575

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Organizations & group practices 2

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": "1655683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1841921087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2041 86TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112143203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 86TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112143203",
            "telephone_number": "718-266-2284"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "837 59th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112203611",
            "country_code": "US",
            "telephone_number": "718-680-8881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TSANG",
        "first_name": "KELLY",
        "middle_name": "A.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-20",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "348580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.