Suze Paul Jacques

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

260881-01 Issued in NY

Practice address

2679 Belcher St
Baldwin, NY 11510-3938

Phone

(347) 400-1027

NPI assigned

Mar 6, 2023

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1053011346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2679 BELCHER ST",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115103938",
            "telephone_number": "347-400-1027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2679 BELCHER ST",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115103938",
            "telephone_number": "347-400-1027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACQUES",
        "first_name": "SUZE",
        "middle_name": "PAUL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "260881-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristofer Mark Isaksen, LCSW
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• Rosa Lee Jackson, LPN
• Marc Louis Jacobs, D.C.
• Jad Occupational Therapy, P.C.
• Vishanti Jaimangal, NP
• Christie Jean-Charles, PA
• Alix Jean-Pierre Sr., LPN
• Wilmene Jean-Pierre, RN

• Licensed Practical Nurse in Baldwin, NY
• Providers in Baldwin, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; 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.