Elizabeth Anne Jansen

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

307681 Issued in NY

Legal business name

ELIZABETH ANNE JANSEN

Practice address

20 Salisbury Ave
Stewart Manor, NY 11530-3838

Phone

(516) 652-7432

NPI assigned

Nov 17, 2016

Last updated

Nov 17, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Elizabeth Anne Jansen, NP

Title

RN

Phone

(516) 652-7432

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1479340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479340800000",
    "number": "1144762436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 SALISBURY AVE",
            "city": "STEWART MANOR",
            "state": "NY",
            "postal_code": "115303838",
            "telephone_number": "516-652-7432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 SALISBURY AVE",
            "city": "STEWART MANOR",
            "state": "NY",
            "postal_code": "115303838",
            "telephone_number": "516-652-7432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH ANNE JANSEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-17",
        "last_updated": "2016-11-17",
        "status": "A",
        "authorized_official_last_name": "JANSEN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "516-652-7432",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "307681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher D Pae DDS PLLC
• Gabriella Jae Cisneros, LMSW
• Robert J Cohen, DPM
• Marisa De Maio, LMT
• Robert J Downes Jr., RPH,MPH
• Omana George, L.P.N
• Krzysztof Gozdziak, RPH
• Karen M Green, PSYD
• Denise Grueneberg, R.N.
• Janice Hong, RPH

• Adult Health Nurse Practitioner in Stewart Manor, NY
• Providers in Stewart Manor, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.