Individual provider Active NPI

Prabjeet Kaur

  • Family Nurse Practitioner
  • Riverdale, NJ
National Provider Identifier
1881469179
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ14959500 Issued in NJ
Practice address
44 State RT 23 Ste 6
Riverdale, NJ 07457-1603
Phone
(973) 248-9199
Fax
(973) 248-9299
NPI assigned
Nov 16, 2023
Last updated
Nov 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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 26NJ14959500 NJ Primary

Addresses

Primary practice location

44 State RT 23 Ste 6
Riverdale, NJ 07457-1603

Mailing address

44 State RT 23 Ste 6
Riverdale, NJ 07457-1603
Phone (973) 248-9199

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20240126000712 NJ Practitioner - Nurse Practitioner 3173976123 Reassigns benefits to 1 organization

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
Jeffrey Weiss, M.D., P.a.Group PAC ID 0446236483, 18 clinicians

Practice addresses (Care Compare)

44 Route 23 N
Suite 6
Riverdale, NJ 07457-1603
Phone (973) 248-9199

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey Weiss MD PA CurrentSince Dec 19, 2023 Accepting new patients

Locations

140 N State Rt 17
Ste 204
Paramus, NJ 07652
Phone (201) 523-9797

44 State Rt 23
Ste 6
Riverdale, NJ 07457
Phone (973) 248-9199

Organizations & group practices 1

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": "1700092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1881469179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 STATE RT 23 STE 6",
            "city": "RIVERDALE",
            "state": "NJ",
            "postal_code": "074571603",
            "telephone_number": "973-248-9199",
            "fax_number": "973-248-9299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 STATE RT 23 STE 6",
            "city": "RIVERDALE",
            "state": "NJ",
            "postal_code": "074571603",
            "telephone_number": "973-248-9199",
            "fax_number": "973-248-9299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUR",
        "first_name": "PRABJEET",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-16",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ14959500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverdale, NJ

Sources for this page

Verify at the official NPI Registry.