Jerome White

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

305686 Issued in NY

Practice address

27 Madison St
Rocky Point, NY 11778-9754

Phone

(631) 566-0270

NPI assigned

Dec 19, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1324252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324252800000",
    "number": "1184993230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 MADISON ST",
            "city": "ROCKY POINT",
            "state": "NY",
            "postal_code": "117789754",
            "telephone_number": "631-566-0270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 MADISON ST",
            "city": "ROCKY POINT",
            "state": "NY",
            "postal_code": "117789754",
            "telephone_number": "631-566-0270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "JEROME",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-19",
        "last_updated": "2011-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "305686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Danayja Washington
• Martine C Washingtonluykx
• Patrick Watters
• Michelle Weston-Bloom, MSED, BCBA
• Adam Wetcher, M.D.
• Shalieshia Senea White, RN
• Emily Wiegel, OTR/L
• Alexander Basil Edward Wilson, LMSW
• Sonmi P. Wong, O.D.
• Luis Fabian Yepes, L.AC

• Licensed Practical Nurse in Rocky Point, NY
• Providers in Rocky Point, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; 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.