Active NPI
Fuad Kurjakovic
- Psychiatric/Mental Health Nurse Practitioner
- Yonkers, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- F402929
- Practice address
- 127 S Broadway
Yonkers, NY 10701-4006 - Phone
- (914) 378-7000
- Fax
- (914) 378-7193
- NPI assigned
- Dec 6, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | F402929 | NY | Primary |
Addresses
Primary practice location
127 S Broadway
Yonkers, NY 10701-4006
Mailing address
127 S Broadway
Yonkers, NY 10701-4006
Phone (914) 378-7546
Other practice location 1
46 Sagamore Hill Dr
Port Washington, NY 11050-2035
Phone (516) 521-8757
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F402929 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Joseph'S Hospital Yonkers | Current | Accepting new patients | |
| Essen Medical Associates, PC | Current | Accepting new patients | |
| Essen Medical Associates, PC | Current | Accepting new patients | |
| Bronx Medical Practice P.C. | Current | Accepting new patients | |
| St. Joseph'S Hospital & Medical Center | Current | Accepting new patients | |
| House Call Medical Services of New York, PLLC | Current | Accepting new patients | |
| St Josephs Hospital Yonkers | Current | Accepting new patients | |
| St Josephs Hospital Yonkers | Past | Accepting new patients |
Locations
2015 Grand Concourse
#13202
Bronx, NY 10453
1434 Williamsbridge Rd
#2
Bronx, NY 10461
2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200
1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200
2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400
8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400
275 North St
Harrison, NY 10528
Phone (914) 925-5211
127 S Broadway
Yonkers, NY 10701
Phone (914) 378-7342
127 S Broadway
#2
Yonkers, NY 10701
Phone (914) 378-7342
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Organizations & group practices 8
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.
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1356726087
-
- Legal Medicine
- Bronx, NY
- NPI 1366418709
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1851345946
-
- Anatomic Pathology & Clinical Pathology Physician
- Yonkers, NY
- NPI 1356316921
-
- Podiatrist
- Bronx, NY
- NPI 1720799158
-
- General Acute Care Hospital
- Harrison, NY
- NPI 1679883037
-
- Psychiatry Physician
- Yonkers, NY
- NPI 1245204908
-
- Psychiatric Hospital Unit
- Yonkers, NY
- NPI 1619032273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727827200000",
"number": "1871251934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 S BROADWAY",
"city": "YONKERS",
"state": "NY",
"postal_code": "107014006",
"telephone_number": "914-378-7546",
"fax_number": "914-378-7193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 S BROADWAY",
"city": "YONKERS",
"state": "NY",
"postal_code": "107014006",
"telephone_number": "914-378-7000",
"fax_number": "914-378-7193"
}
],
"practiceLocations": [
{
"address_1": "46 Sagamore Hill Dr",
"address_purpose": "LOCATION",
"city": "Port Washington",
"state": "NY",
"postal_code": "110502035",
"country_code": "US",
"telephone_number": "516-521-8757",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KURJAKOVIC",
"first_name": "FUAD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-12-06",
"last_updated": "2024-10-02",
"certification_date": "2024-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "F402929",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yonkers, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; 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.