Individual provider Active NPI

Kristina Gojcaj, FNP-BC

  • Family Nurse Practitioner
  • Bloomfield Hills, MI
National Provider Identifier
1992285324
Registry record updated Aug 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704310873 Issued in MI
Practice address
2510 S Telegraph Rd
Bloomfield Hills, MI 48302-0241
Phone
(248) 454-0442
NPI assigned
Aug 15, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2018

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 4704310873 MI Primary

Addresses

Primary practice location

2510 S Telegraph Rd
Bloomfield Hills, MI 48302-0241

Mailing address

56202 Chesapeake TRL
Shelby Township, MI 48316-5062
Phone (248) 798-0399

Other names 1

  • Miss Kristina Malaj Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20180924001098 MI Practitioner - Nurse Practitioner 9931450475 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704310873MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeshore Ear Nose and Throat Center PC Current Accepting new patients
Henry Ford Health St. John Hospital Current Accepting new patients
Henry Ford Health St. John Hospital CurrentSince Aug 1, 2019 Accepting new patients
Lakeshore Ear Nose and Throat Center PC CurrentSince Sep 1, 2019 Accepting new patients
Royal Urgent Care, PLLC CurrentSince Aug 11, 2018 Accepting new patients
Washington Urgent Care, PLLC CurrentSince Aug 11, 2018 Accepting new patients
Elizabeth Lake Urgent Care PLLC CurrentSince Aug 11, 2018 Accepting new patients
Henry Ford Health St. John Hospital CurrentSince Aug 1, 2019 Accepting new patients
First Choice Urgent Care PC PastSince Aug 11, 2018 Accepting new patients

Locations

17770 Mack Ave
Grosse Pointe Shores, MI 48230
Phone (313) 882-1731

17900 23 Mile Rd
Ste 203
Macomb, MI 48044
Phone (586) 263-7400

17900 23 Mile Rd
Ste 205
Macomb, MI 48044
Phone (313) 885-6367

1202 Walton Blvd
Ste 201
Rochester Hills, MI 48307
Phone (248) 652-0044

2708 S Rochester Rd
Ste A
Rochester Hills, MI 48307
Phone (248) 309-3344

2632 S Rochester Rd
Unit 70747
Rochester Hills, MI 48307

4080 Crooks Rd
Royal Oak, MI 48073
Phone (248) 280-1080

21000 E 12 Mile Rd
Ste 111
St Clr Shores, MI 48081
Phone (586) 779-7610

11080 Hall Rd
Ste A
Sterling Hts, MI 48314
Phone (586) 254-0033

7701 26 Mile Rd
Washington, MI 48094
Phone (586) 935-4000

2446 Elizabeth Lake Rd
Waterford, MI 48328
Phone (248) 309-3344

Interoperability endpoints

  • Direct secure messaging: kristina.gojcaj.1@17789.direct.athenahealth.com

Organizations & group practices 10

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": "1534291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534291200000",
    "number": "1992285324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56202 CHESAPEAKE TRL",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483165062",
            "telephone_number": "248-798-0399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 S TELEGRAPH RD",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020241",
            "telephone_number": "248-454-0442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOJCAJ",
        "first_name": "KRISTINA",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-15",
        "last_updated": "2018-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704310873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINA",
            "last_name": "MALAJ",
            "prefix": "MISS",
            "credential": "FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bloomfield Hills, MI

Sources for this page

Verify at the official NPI Registry.