Active NPI
Nioleden Jean-Joseph, NURSE PRACTITIONER
- Family Nurse Practitioner
- Uniondale, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F354503
- Practice address
- 833 Davis Ave
Uniondale, NY 11553-2836 - Phone
- (516) 754-8487
- NPI assigned
- Feb 25, 2014
- Reactivated
- Sep 3, 2024
- Sex
- Male
- 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 | 679038 | NY | |
| Family Nurse Practitioner | 363LF0000X | F354503 | NY | Primary |
Addresses
Primary practice location
833 Davis Ave
Uniondale, NY 11553-2836
Mailing address
196 W 24TH St
Deer Park, NY 11729-4837
Phone (516) 754-8487
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
81 Louden Ave
Amityville, NY 11701-2736
Phone (631) 789-7000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 679038 | NY | MD | Registered Nurse |
| F354503 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Internal Medicine Solutions P.C. | Current | Accepting new patients | |
| South Shore Magnetic Resonance Imaging Associates PC | Current | Accepting new patients |
Locations
81 Louden Ave
Amityville, NY 11701
Phone (631) 789-7000
6411 Beach Channel Dr
Far Rockaway, NY 11692
Phone (718) 471-7010
275 W Merrick Rd
Freeport, NY 11520
Phone (516) 377-2946
154 Prospect Ave
Plattsburgh, NY 12901
Phone (518) 563-5440
Organizations & group practices 2
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": "1393286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743984000000",
"number": "1134544372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "196 W 24TH ST",
"city": "DEER PARK",
"state": "NY",
"postal_code": "117294837",
"telephone_number": "516-754-8487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "833 DAVIS AVE",
"city": "UNIONDALE",
"state": "NY",
"postal_code": "115532836",
"telephone_number": "516-754-8487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEAN-JOSEPH",
"first_name": "NIOLEDEN",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-02-25",
"last_updated": "2025-04-07",
"certification_date": "2025-04-07",
"deactivation_date": "2024-07-04",
"reactivation_date": "2024-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "679038",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F354503",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Uniondale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.