Active NPI
Keifa Joseph
- Infusion Therapy Registered Nurse
- Jamaica, NY
National Provider Identifier
1114775780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infusion Therapy Registered Nurse
- License
- 1541136
- Practice address
- 16118 118TH Rd
Jamaica, NY 11434 - Phone
- (845) 893-6343
- NPI assigned
- May 9, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Infusion Therapy Registered Nurse | 163WI0500X | 1541136 | NY | Primary |
Addresses
Primary practice location
16118 118TH Rd
Jamaica, NY 11434
Mailing address
16118 118TH Rd
Jamaica, NY 11434
Phone (845) 893-6343
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 |
|---|---|---|---|
| 1541136 | NY | MD | Infusion Therapy Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715212800000",
"number": "1114775780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16118 118TH RD",
"city": "JAMAICA",
"state": "NY",
"postal_code": "11434",
"telephone_number": "845-893-6343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16118 118TH RD",
"city": "JAMAICA",
"state": "NY",
"postal_code": "11434",
"telephone_number": "845-893-6343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSEPH",
"first_name": "KEIFA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-09",
"last_updated": "2024-05-09",
"certification_date": "2024-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WI0500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Infusion Therapy",
"state": "NY",
"license": "1541136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.