Active NPI
Jessica Lynne Mollard-Zimmerman, N.P.
- Neonatal Nurse Practitioner
- New York, NY
National Provider Identifier
1073829503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- 587019
- Practice address
- 550 1St Ave
New York, NY 10016-6402 - Phone
- (212) 263-5788
- NPI assigned
- Aug 22, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | 587019 | NY | Primary |
Addresses
Primary practice location
550 1St Ave
New York, NY 10016-6402
Mailing address
12 Hillock CT
Glenville, NY 12302-3735
Phone (518) 399-4368
Other practice location 1
357 Sycamore St
Rahway, NJ 07065-2521
Phone (518) 441-7268
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jmollard114740@nyumc.direct-ci.com |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 587019 | NY | MD | Neonatal Nurse Practitioner |
Interoperability endpoints
- jmollard114740@nyumc.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660694400000",
"number": "1073829503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 HILLOCK CT",
"city": "GLENVILLE",
"state": "NY",
"postal_code": "123023735",
"telephone_number": "518-399-4368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 1ST AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100166402",
"telephone_number": "212-263-5788"
}
],
"practiceLocations": [
{
"address_1": "357 Sycamore St",
"address_purpose": "LOCATION",
"city": "Rahway",
"state": "NJ",
"postal_code": "070652521",
"country_code": "US",
"telephone_number": "518-441-7268",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOLLARD-ZIMMERMAN",
"first_name": "JESSICA",
"middle_name": "LYNNE",
"name_prefix": "Miss",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-22",
"last_updated": "2022-08-17",
"certification_date": "2022-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "NY",
"license": "587019",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jmollard114740@nyumc.direct-ci.com",
"affiliation": "N",
"address_1": "550 1st Ave",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100166402",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.