Individual provider Active NPI

Jasmine Charlon, APN

  • Adult Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1033453956
Registry record updated Aug 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F306142-1 Issued in NY
Practice address
334 E 25TH St
New York, NY 10010-3179
Phone
(212) 263-5489
NPI assigned
Nov 15, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NJ00403600 NJ
Adult Health Nurse Practitioner 363LA2200X F306142-1 NY Primary

Addresses

Primary practice location

334 E 25TH St
New York, NY 10010-3179

Mailing address

320 36TH St
Apt. 1
Union City, NJ 07087-4710
Phone (201) 320-0711

Other identifiers 2

IdentifierTypeStateIssuer
26NJ00403600OtherNJNEW JERSEY APN CERTIFICATION NUMBER
F306142OtherNYNEW YORK STATE NP LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
26NJ00403600NJMDAdult Health Nurse Practitioner
F306142-1NYMDAdult Health Nurse Practitioner

Networks

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

Interoperability endpoints

  • Direct secure messaging: jcharlon91198@nyumc.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376524800000",
    "number": "1033453956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 36TH ST",
            "address_2": "APT. 1",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070874710",
            "telephone_number": "201-320-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 E 25TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100103179",
            "telephone_number": "212-263-5489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLON",
        "first_name": "JASMINE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2013-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00403600",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F306142-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW JERSEY APN CERTIFICATION NUMBER",
            "identifier": "26NJ00403600",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE NP LICENSE",
            "identifier": "F306142",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.