Jissette Elena Pichardo

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

26 Court St Ste 1911
Brooklyn, NY 11242-1119

Phone

(718) 852-5470

Fax

(718) 852-6972

NPI assigned

Apr 16, 2012

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1334534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334534400000",
    "number": "1215294285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 COURT ST STE 1911",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112421119",
            "telephone_number": "718-852-5470",
            "fax_number": "718-852-6972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 COURT ST STE 1911",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112421119",
            "telephone_number": "718-852-5470",
            "fax_number": "718-852-6972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICHARDO",
        "first_name": "JISSETTE",
        "middle_name": "ELENA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-16",
        "last_updated": "2012-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina Maria Piccirillo, LAC
• Matthew Joseph Piccolino, PHARMD
• Kimberly Picerno
• Katherine Pichardo Burgos
• Martha Pichardo Gonzalez, MD
• Stephanie Pichardo, MHC
• Stephanie Marie Pichardo, CPNP-PC
• David Pichkadze, MD
• Rimma Pichkar, D.O.
• Sandra Leigh Picillo

• Case Manager/Care Coordinator in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Case Manager/Care Coordinator in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2012; 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.