Sergey Krupochkin · Adult Health Nurse Practitioner

432 E 149th St, Bronx, NY 10455-1343

Overview

Sergey Krupochkin is a Adult Health Nurse Practitioner practicing in Bronx, New York. The National Provider Identifier (NPI) is #1174198303, which was assigned on May 20, 2021, and the registration record was last updated on March 25, 2026. The practitioner's main practice location is at 432 E 149th St, Bronx, NY 10455-1343; the contact telephone number is 7186187522. The primary taxonomy of Sergey Krupochkin is Adult Health Nurse Practitioner (363LA2200X), with specialization in Adult Health. Sergey Krupochkin is licensed to practice in the state of New York (#310323), New York (#746535), California.

Provider Information

NPI 1174198303
Entity Type Individual
Provider Name SERGEY KRUPOCHKIN
Gender Male
Practice Address 432 E 149th St
Bronx
NY 10455-1343
Practice Telephone 7186187522
Mailing Address 1700 Coffee Rd
Modesto
CA 95355-2803
Mailing Telephone 2095697493
Certification Date 2026-03-25
Enumeration Date 2021-05-20
Last Update Date 2026-03-25
Is Sole Proprietor N

Doctor and Clinician Information

PAC ID 1658779186
Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID
Full Name SERGEY KRUPOCHKIN
Primary Specialty NURSE PRACTITIONER
Organization Legal Name ESSEN MEDICAL ASSOCIATES, PC
Address 2015 Grand Ave
Fl 1
Bronx
NY 10453-4611

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y363LA2200XNurse PractitionerAdult Health310323NY
N163W00000XRegistered Nurse746535NY
N390200000XStudent in an Organized Health Care Education/Training ProgramCA

Secondary Practice Locations

AddressTelephoneFax
1700 Coffee Rd, Modesto, CA 9535528032095697493

Taxonomy Information

Primary Taxonomy

Code 363LA2200X
Taxonomy Adult Health Nurse Practitioner
Classification Nurse Practitioner
Specialization Adult Health
Grouping Physician Assistants & Advanced Practice Nursing Providers
Definition: Definition to come...

Other Taxonomy

Code 163W00000X
Taxonomy Registered Nurse
Classification Registered Nurse
Grouping Nursing Service Providers
Definition: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Other Taxonomy

Code 390200000X
Taxonomy Student in an Organized Health Care Education/Training Program
Classification Student in an Organized Health Care Education/Training Program
Grouping Student, Health Care
Definition: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Tova Davatgar 1842 E 28th St, Brooklyn, NY 11229-2515Adult Health Nurse Practitioner2026-03-27
Jinyoung Lee · Jin Young Lee 9610 Metropolitan Ave Fl 3, Forest Hills, NY 11375-6625Adult Health Nurse Practitioner2026-04-02
Sachi Moncion 260 Patchogue Yaphank Rd Ste F, East Patchogue, NY 11772-8820Adult Health Nurse Practitioner2026-03-30
Nicholas Sheehan Lombardo 428 E 72nd St Ofc 500, New York, NY 10021-0600Adult Health Nurse Practitioner2026-03-27
Grace Elizabeth Harte 247 Caryl Dr, Pittsburgh, PA 15236-4401Adult Health Nurse Practitioner2026-04-08
Vanessa Thompson 14425 33rd Ave Apt 4h, Flushing, NY 11354-3103Adult Health Nurse Practitioner2026-04-07
Benko Professional Services, LLC 5212 Marcillus Ave, El Paso, TX 79924-5340Adult Health Nurse Practitioner2026-04-09
Stefanie Jeanne Ehnot 38 Tower Rd, Brookfield, CT 06804-3643Adult Health Nurse Practitioner2026-04-10
Artemis Avanesian 1429 Campbell St, Glendale, CA 91207-1405Adult Health Nurse Practitioner2026-04-03
Cynthia Aline Steding 5349 N 22nd St Ste 5, Ozark, MO 65721-7627Adult Health Nurse Practitioner2026-04-08
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Location Information

Street Address 432 E 149TH ST
City BRONX
State NY
Zip Code 10455-1343
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Linda Dept Store Inc 438 E 149th St, Bronx, NY 10455-1304Pharmacy2006-07-30
Bronx Wellness Pharmacy Inc 3007 3rd Ave, Bronx, NY 10455-1200Pharmacy2017-08-10
Bronx Vista Inc 457 E 149th St, Bronx, NY 10455-1314Optometrist2015-09-29
Cuidamed Rx Inc. 3021a 3rd Ave, Bronx, NY 10455-1202Community/Retail Pharmacy2018-03-14
Happy Life Home Health Agency Inc 2823 Third Ave, Suite 104, Bronx, NY 10455Home Health Agency2013-05-15
Shree Ganesh Pharmacy 2810 3rd Ave, Bronx, NY 10455Pharmacy2006-10-10
Carter Zander Houston 555 Bergen Ave, Bronx, NY 10455-1368Social Worker2026-04-07
Lore Birthing Services, LLC 515 E 156th St Apt A, Bronx, NY 10455-1452Doula2026-02-25
Avraham Walkenfeld 2852 Third Ave, 402, Bronx, NY 10455Clinical Social Worker2025-08-14
Timiqua Mcdowell 700 E 156th St Apt 17e, Bronx, NY 10455-1526Behavioral Analyst2026-01-23
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.