Jessica Jolie Badonsky, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

344707-01 Issued in NY

Practice address

3430 Corlear Ave
Bronx, NY 10463-3702

Phone

(646) 671-0502

NPI assigned

Jul 17, 2019

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 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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HAGGAA/Endpoint/HAGGAA
• Direct secure messaging: jessica.badonsky.1@24989.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.

• City of New York Office of Payroll Administration

  • State or Local Public Health Clinic/Center
  • Jackson Heights, NY
  • NPI 1942257035

  Single Specialty

  Medicare reassignment NPD
• Under 21

  • Clinic/Center
  • New York, NY
  • NPI 1053588988

  Single Specialty

  Medicare reassignment NPD
• City of New York Office of Payroll Administration

  • Community Health Clinic/Center
  • New York, NY
  • NPI 1659327674
  NPD
• City of New York Office of Payroll Administration

  • State or Local Public Health Clinic/Center
  • Brooklyn, NY
  • NPI 1679501647

  Single Specialty

  NPD
• City of New York Office of Payroll Administration

  • Community Health Clinic/Center
  • Brooklyn, NY
  • NPI 1912953035

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1003469289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3430 CORLEAR AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104633702",
            "telephone_number": "646-671-0502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3430 CORLEAR AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104633702",
            "telephone_number": "646-671-0502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADONSKY",
        "first_name": "JESSICA",
        "middle_name": "JOLIE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-17",
        "last_updated": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "344707-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rohan Badlani, MD
• Abosede Badmus
• Victor Badner, DMD
• Komlan A Bado Sr., OTA
• Raghubar Prasad Badola
• Amil H Badoolah, DO
• Florence Badoy
• Dalal Badreddine
• Jayanti Badu, RN
• Vicentia Badu

• Family Nurse Practitioner in Bronx, NY
• Providers in Bronx, 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 Jul 17, 2019; 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.