Active NPI
Maguenite Jean
- Registered Nurse
- Brooklyn, NY
National Provider Identifier
1043587371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 680215
- Practice address
- 853 Empire Blvd
Apt 5C
Brooklyn, NY 11213-5766 - Phone
- (917) 600-9311
- NPI assigned
- Dec 1, 2011
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 306265-1 | NY | |
| Registered Nurse | 163W00000X | 680215 | NY | Primary |
Addresses
Primary practice location
853 Empire Blvd
Apt 5C
Brooklyn, NY 11213-5766
Mailing address
1651 E 56TH St
Apt 5C
Brooklyn, NY 11234-4022
Phone (917) 600-9311
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 |
|---|---|---|---|
| 680215 | NY | MD | Registered Nurse |
| 306265-1 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441843200000",
"number": "1043587371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1651 E 56TH ST",
"address_2": "APT 5C",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112344022",
"telephone_number": "917-600-9311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "853 EMPIRE BLVD",
"address_2": "APT 5C",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112135766",
"telephone_number": "917-600-9311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEAN",
"first_name": "MAGUENITE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-01",
"last_updated": "2015-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "306265-1",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "680215",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.