Bijou Kadima, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F350028-01 Issued in NY

Practice address

1600 Burrstone Rd
Utica, NY 13502-4857

Phone

(732) 630-1586

NPI assigned

Dec 8, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Beacon Christian Community Health Center IncGroup PAC ID 7719078856, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: bijou.kadima.1@20119.direct.athenahealth.com

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.

• Beacon Christian Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Staten Island, NY
  • NPI 1639246358
  Medicare reassignment Care Compare group NPD
• Concerto Care Medical Group of New York, PC

  • Critical Care Medicine (Internal Medicine) Physician
  • Buffalo, NY
  • NPI 1720805963
  Medicare reassignment NPD
• Beacon Christian Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Staten Island, NY
  • NPI 1750700902
  NPD
• Beacon Christian Community Health Center, Inc.

  • Clinic/Center
  • New York, NY
  • NPI 1811531528
  NPD (past)

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

{
    "created_epoch": "1260230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1982933784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2079 FOREST AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103031865",
            "telephone_number": "718-815-6560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 BURRSTONE RD",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135024857",
            "telephone_number": "732-630-1586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADIMA",
        "first_name": "BIJOU",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-08",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "622286",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "350028",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F350028-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judge Dental, PLLC
• Emina Jukic, FNP
• Mustafa Kaakour, MD
• Alsia M. Kabari, D.O.
• Dilip D Kachare, M.D.
• Sandra L Kaelin, LCSW
• George William Kahler Jr., LCSW-R
• Eileen Kain, PHARM.D
• Timothy Kain, CRNA
• Marena Kallas, LCSW-R

• Family Nurse Practitioner in Utica, NY
• Providers in Utica, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.