Active NPI
Jasmine Charlon, APN
- Adult Health Nurse Practitioner
- New York, NY
National Provider Identifier
1033453956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- F306142-1
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26NJ00403600 | Other | NJ | NEW JERSEY APN CERTIFICATION NUMBER |
| F306142 | Other | NY | NEW 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
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00403600 | NJ | MD | Adult Health Nurse Practitioner |
| F306142-1 | NY | MD | Adult Health Nurse Practitioner |
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Interoperability endpoints
- 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.