Individual provider Active NPI

Fuad Kurjakovic

  • Psychiatric/Mental Health Nurse Practitioner
  • Yonkers, NY
National Provider Identifier
1871251934
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F402929 Issued in NY
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

Updated by the provider on Oct 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220126000687 NY Practitioner - Nurse Practitioner 4880086701 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F402929NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph'S Hospital Yonkers Current Accepting new patients
Essen Medical Associates, PC CurrentSince Dec 1, 2021 Accepting new patients
Essen Medical Associates, PC CurrentSince Dec 1, 2021 Accepting new patients
Bronx Medical Practice P.C. CurrentSince Dec 1, 2021 Accepting new patients
St. Joseph'S Hospital & Medical Center CurrentSince Apr 1, 2024 Accepting new patients
House Call Medical Services of New York, PLLC CurrentSince Dec 1, 2021 Accepting new patients
St Josephs Hospital Yonkers CurrentSince Apr 1, 2024 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.

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

Verify at the official NPI Registry.