Active NPI
Addler Jose
- Licensed Practical Nurse
- Central Islip, NY
National Provider Identifier
1073441770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 356034
- Practice address
- 53 Vanderbilt Ave
Central Islip, NY 11722-1106 - Phone
- (862) 755-9951
- NPI assigned
- May 12, 2026
- Last updated
- May 12, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 356034 | NY | Primary |
Addresses
Primary practice location
53 Vanderbilt Ave
Central Islip, NY 11722-1106
Mailing address
53 Vanderbilt Ave
Central Islip, NY 11722-1106
Phone (862) 755-9951
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 |
|---|---|---|---|
| 356034 | NY | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778544000000",
"number": "1073441770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53 VANDERBILT AVE",
"city": "CENTRAL ISLIP",
"state": "NY",
"postal_code": "117221106",
"telephone_number": "862-755-9951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "53 VANDERBILT AVE",
"city": "CENTRAL ISLIP",
"state": "NY",
"postal_code": "117221106",
"telephone_number": "862-755-9951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSE",
"first_name": "ADDLER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-05-12",
"last_updated": "2026-05-12",
"certification_date": "2026-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "356034",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Central Islip, NY
- Jewish Board of Family & Children's Services (The Jewish Board Suffolk ACT Team)
- Jewlz Helpimg Hands Home Health Agency (Jewelz Helping Hands Home Health Agency)
- John Ricardo Jimenez
- Catherine Johnson I
- Karissa Marie Johnson, PHARMD.
- Sofia Kamran, PA
- Elynne Marie Kane, MA, CCC, SLP
- Seerat Kapani, OT
- Nicole Mary Karabaich, PA-C
- Paola Kasouto, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.