Individual provider Active NPI

Noemi De Jesus, RN

  • Family Nurse Practitioner
  • Spring Valley, NY
National Provider Identifier
1154819753
Registry record updated Apr 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F342534 Issued in NY
Practice address
25 S Main St Ste E
Spring Valley, NY 10977-4917
Phone
(845) 499-5496
Fax
(845) 290-1435
NPI assigned
Apr 29, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2018

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 F342534 NY Primary

Addresses

Primary practice location

25 S Main St Ste E
Spring Valley, NY 10977-4917

Mailing address

1 Katavolos Dr
Tomkins Cove, NY 10986-1417
Phone (845) 942-8491

Other names 1

  • Mrs. Noemi Aponte Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
F342534NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Liliana Lopez NP in Family Health PC Family PastSince Oct 9, 2016 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1524960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524960000000",
    "number": "1154819753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 KATAVOLOS DR",
            "city": "TOMKINS COVE",
            "state": "NY",
            "postal_code": "109861417",
            "telephone_number": "845-942-8491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 S MAIN ST STE E",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109774917",
            "telephone_number": "845-499-5496",
            "fax_number": "845-290-1435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE JESUS",
        "first_name": "NOEMI",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-29",
        "last_updated": "2018-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F342534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NOEMI",
            "last_name": "APONTE",
            "prefix": "MRS.",
            "credential": "FNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Spring Valley, NY

Sources for this page

Verify at the official NPI Registry.