Individual provider Active NPI

Jerome Job, BSN, RN

  • General Practice Registered Nurse
  • Brooklyn, NY
National Provider Identifier
1205778784
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
797996 Issued in NY
Practice address
28 Box St Apt N219
Brooklyn, NY 11222-5585
Phone
(929) 683-3320
Fax
(866) 275-8660
NPI assigned
Apr 6, 2026
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

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
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
797996NYMDGeneral Practice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Caruso-Care, NP in Psychiatry, P.C. PastSince Oct 27, 2024 Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 797996 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

28 Box St Apt N219
Brooklyn, NY 11222-5585

Mailing address

28 Box St Apt N219
Brooklyn, NY 11222-5585
Phone (929) 683-3320

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
1184445835OtherNYNPI TYPE 2 ORGANIZATION ASSOCIATION

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
FHIR URL https://ehr.valant.io/io Health Information Exchange (HIE)

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 6, 2026.

{
    "created_epoch": "1775433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1205778784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 BOX ST APT N219",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112225585",
            "telephone_number": "929-683-3320",
            "fax_number": "866-275-8660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 BOX ST APT N219",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112225585",
            "telephone_number": "929-683-3320",
            "fax_number": "866-275-8660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOB",
        "first_name": "JEROME",
        "name_prefix": "Mr.",
        "credential": "BSN, RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-04-06",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NY",
            "license": "797996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 2 ORGANIZATION ASSOCIATION",
            "identifier": "1184445835",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://ehr.valant.io/io",
            "affiliation": "N",
            "endpointDescription": "VALANT: FHIR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct",
            "address_1": "28 Box St Apt N219",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112225585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; 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.