Active NPI
Jerome Job, BSN, RN
- General Practice Registered Nurse
- Brooklyn, NY
National Provider Identifier
1205778784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Registered Nurse
- License
- 797996
- 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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Brooklyn, NY
- NPI 1184445835
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
| License | State | Type | Specialty |
|---|---|---|---|
| 797996 | NY | MD | General Practice Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caruso-Care, NP in Psychiatry, P.C. | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 797996 | NY | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184445835 | Other | NY | NPI TYPE 2 ORGANIZATION ASSOCIATION |
Electronic endpoints 1
NPPES NPI Registry| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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.