Active NPI
Marina Kuperman Family Health NP PC.
- Obstetrics & Gynecology Nurse Practitioner
- Brooklyn, NY
National Provider Identifier
1972133791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- Legal business name
- MARINA KUPERMAN FAMILY HEALTH NP PC.
- Practice address
- 326 7TH St
Brooklyn, NY 11215-3311 - Phone
- (718) 753-3207
- NPI assigned
- Jan 21, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marina Kuperman, FNP
- Title
- Owner
- Phone
- (718) 355-9705
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | Primary |
Addresses
Primary practice location
326 7TH St
Brooklyn, NY 11215-3311
Mailing address
4768 Hylan Blvd
Staten Island, NY 10312-6314
Phone (718) 355-9705
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
144 McClean Ave
#1
Staten Island, NY 10305
144 McClean Ave
Ste 1
Staten Island, NY 10305
144 McClean Ave
Fl 1
Staten Island, NY 10305
Phone (718) 355-9705
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579564800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1604016000000",
"number": "1972133791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4768 HYLAN BLVD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103126314",
"telephone_number": "718-355-9705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "326 7TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112153311",
"telephone_number": "718-753-3207"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARINA KUPERMAN FAMILY HEALTH NP PC.",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-21",
"last_updated": "2020-10-30",
"certification_date": "2020-10-30",
"status": "A",
"authorized_official_last_name": "KUPERMAN",
"authorized_official_first_name": "MARINA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-355-9705",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.