PAWANJEET KAUR
NPI 1245892959
Nurse Practitioner - Family in Pequannock, NJ
About Pawanjeet Kaur NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PAWANJEET KAUR (NPI 1245892959) is an individual family provider in Pequannock, New Jersey, licensed in New Jersey (26NJ00931000) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Elmwood Park.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pawanjeet Kaur is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Pawanjeet Kaur reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Spring Valley, NY 10977
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Park Avenue Pediatrics PC
- 87 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07440 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Pawanjeet Kaur's NPI number?
The NPI number for Pawanjeet Kaur is 1245892959. It was assigned to this individual provider in the NPPES registry on July 2, 2019.
Where is Pawanjeet Kaur located?
Pawanjeet Kaur practices at 156 Newark Pompton Tpke, Pequannock, NJ 07440. The listed phone number is (973) 692-1221.
What is Pawanjeet Kaur's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Pawanjeet Kaur enrolled in Medicare?
Yes. Pawanjeet Kaur is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Pawanjeet Kaur's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Pawanjeet Kaur reassigns Medicare benefits to Park Avenue Pediatrics, P.C. (Spring Valley, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Pawanjeet Kaur's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Pawanjeet Kaur was last updated on July 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Pawanjeet Kaur · NPI 1245892959
Family physician in Pequannock, New Jersey. Individual provider, active in the CMS NPPES registry since July 2, 2019.
## Identity
- **NPI:** 1245892959 (Entity type: Individual)
- **Enumerated:** July 2, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 26NJ00931000 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 156 NEWARK POMPTON TPKE, Pequannock, NJ 07440
- **Phone:** (973) 692-1221
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Park Avenue Pediatrics, P.C. (NPI 1699969543, Spring Valley, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 12, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1245892959) · Data from the CMS NPPES public registry.