Kathy Courain, APN

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

26NO06767100 Issued in NJ

Practice address

349 Passaic Ave
Nutley, NJ 07110-2738

Phone

(973) 667-8889

NPI assigned

Jun 3, 2015

Last updated

Dec 26, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Medical Associates of Englewood, PC

  • Internal Medicine Physician
  • Englewood, NJ
  • NPI 1952681918
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703548800000",
    "number": "1972983062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 ROBIN RD",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076521414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 PASSAIC AVE",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071102738",
            "telephone_number": "973-667-8889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Robin Rd",
            "address_purpose": "LOCATION",
            "city": "Paramus",
            "state": "NJ",
            "postal_code": "076521414",
            "country_code": "US",
            "telephone_number": "201-261-2800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COURAIN",
        "first_name": "KATHY",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-03",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NJ",
            "license": "26NO06767100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Core Physical Therapy and Sports Performance
• Gregory S Corso, DDS
• Derrick Cortez
• Costanza Medical Associates LLC
• Carl Costanza, M.D.
• Amanda Cox, PA
• Annette O Cozzarelli-Franklin, MD
• Creative Solutions Therapy, LLC
• Isalia N Crespo, LCSW
• Gregmar Cruz

• Pediatric Nurse Practitioner in Nutley, NJ
• Providers in Nutley, NJ by specialty
• Pediatric Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; 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.

Verify at the official NPI Registry.