Individual provider Active NPI

Jessica Elizabeth Duggan, MS, RN, FNP-BC

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1104582667
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
345602 Issued in NY
Practice address
70 W 93Rd St Apt 18D
New York, NY 10025-7624
Phone
(516) 458-7882
NPI assigned
Nov 9, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 345602 NY Primary

Addresses

Primary practice location

70 W 93Rd St Apt 18D
New York, NY 10025-7624

Mailing address

70 W 93Rd St Apt 18D
New York, NY 10025-7624

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220902000108 NY Practitioner - Nurse Practitioner 1355725706 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fpa Hospital BasedGroup PAC ID 4789826694, 423 clinicians

Practice addresses (Care Compare)

1176 5TH Ave
New York, NY 10029-6503
Phone (212) 241-8395

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
345602NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fpa Hospital Based CurrentSince Jun 1, 2022 Accepting new patients
Fpa Hospital Based Current Accepting new patients
Fpa Hospital Based CurrentSince Jun 1, 2022 Accepting new patients
Mount Sinai School of Medicine Past Accepting new patients

Locations

3201 Kings Hwy
Brooklyn, NY 11234
Phone (718) 252-3000

3131 Kings Hwy
Ste A4
Brooklyn, NY 11234
Phone (718) 758-1500

300 Cadman Plz W
Fl 18
Brooklyn, NY 11201
Phone (929) 210-6000

3712 82nd St
Jackson Hts, NY 11372
Phone (718) 879-1600

2520 30th Ave
Long Island City, NY 11102
Phone (718) 267-4230

2510 30th Ave
Long Island City, NY 11102
Phone (718) 267-4245

1090 Amsterdam Ave
Fl 3
New York, NY 10025
Phone (212) 523-8333

10 Union Sq E
New York, NY 10003
Phone (212) 253-6800

1111 Amsterdam Ave
New York, NY 10025
Phone (212) 523-2309

1468 Madison Ave
#175
New York, NY 10029
Phone (212) 241-8333

1176 5th Ave
Lbby
New York, NY 10029

310 E 14th St
New York, NY 10003
Phone (212) 979-4000

1000 10th Ave
Fl 4
New York, NY 10019
Phone (212) 523-8332

325 W 15th St
New York, NY 10011
Phone (212) 523-5938

787 11th Ave
#7
New York, NY 10019

17 E 102nd St
#Stste6D
New York, NY 10029

1470 Madison Ave
New York, NY 10029
Phone (212) 241-0806

1176 5th Ave
New York, NY 10029
Phone (212) 241-6237

5 E 98th St
#12
New York, NY 10029
Phone (212) 241-8303

425 W 59th St
Ste 6C
New York, NY 10019
Phone (212) 523-7786

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1104582667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 W 93RD ST APT 18D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100257624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 W 93RD ST APT 18D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100257624",
            "telephone_number": "516-458-7882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUGGAN",
        "first_name": "JESSICA",
        "middle_name": "ELIZABETH",
        "credential": "MS, RN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-09",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "345602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.