Active NPI
Jasmin Guisao
- Registered Nurse
- Pomona, NY
National Provider Identifier
1053188607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 26NR21059500
- Practice address
- 48 Buckingham CT
Pomona, NY 10970-3704 - Phone
- (347) 268-3813
- NPI assigned
- Dec 5, 2023
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 646707-1 | NY | |
| Registered Nurse | 163W00000X | 26NR21059500 | NJ | Primary |
Addresses
Primary practice location
48 Buckingham CT
Pomona, NY 10970-3704
Mailing address
48 Buckingham CT
Pomona, NY 10970-3704
Phone (347) 268-3813
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 |
|---|---|---|---|
| 26NR21059500 | NJ | MD | Registered Nurse |
| 646707-1 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701734400000",
"number": "1053188607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "48 BUCKINGHAM CT",
"city": "POMONA",
"state": "NY",
"postal_code": "109703704",
"telephone_number": "347-268-3813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "48 BUCKINGHAM CT",
"city": "POMONA",
"state": "NY",
"postal_code": "109703704",
"telephone_number": "347-268-3813"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUISAO",
"first_name": "JASMIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-05",
"last_updated": "2023-12-05",
"certification_date": "2023-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "646707-1",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NJ",
"license": "26NR21059500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pomona, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.