Active NPI
Jennifer M Kurulgan, AGNP-C
- Adult Health Nurse Practitioner
- Staten Island, NY
National Provider Identifier
1861920514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- F307967-1
- Practice address
- 2260 Victory Blvd
Staten Island, NY 10314-6622 - NPI assigned
- May 25, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | F307967-1 | NY | Primary |
Addresses
Primary practice location
2260 Victory Blvd
Staten Island, NY 10314-6622
Mailing address
2260 Victory Blvd
Staten Island, NY 10314-6622
Phone (718) 761-4400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ, DE, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F307967-1 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Visavis Health Care Medical Group of de PA | Current | Accepting new patients | |
| Visavis Health Care Medical Group of NJ LLC | Current | Accepting new patients | |
| Visavis Health Care Medical Group of VA LLC | Current | Accepting new patients |
Locations
715 E King St
Seaford, DE 19973
Phone (302) 536-5628
1481 McDonald Ave
Fl 2
Brooklyn, NY 11230
831 Bedford Ave
Brooklyn, NY 11205
7300 State Highway 121
Ste 300374
McKinney, TX 75070
11 Dairy Ln
Fredericksburg, VA 22405
Phone (540) 371-9414
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Seaford, DE
- NPI 1164284048
-
- Family Medicine Physician
- Fair Lawn, NJ
- NPI 1881336428
-
- Family Medicine Physician
- Fredericksburg, VA
- NPI 1508649278
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516665600000",
"number": "1861920514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2260 VICTORY BLVD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103146622",
"telephone_number": "718-761-4400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2260 VICTORY BLVD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103146622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KURULGAN",
"first_name": "JENNIFER",
"middle_name": "M",
"credential": "AGNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-25",
"last_updated": "2018-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F307967-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.