Amandeep Jassal, MSN, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

617422 Issued in NY

Practice address

143 Old Courthouse Rd
New Hyde Park, NY 11040-1219

Phone

(917) 865-4589

NPI assigned

Feb 14, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1613260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1235722992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 OLD COURTHOUSE RD",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401219",
            "telephone_number": "917-865-4589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 OLD COURTHOUSE RD",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401219",
            "telephone_number": "917-865-4589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASSAL",
        "first_name": "AMANDEEP",
        "name_prefix": "Mr.",
        "credential": "MSN, RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-14",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "617422",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "94192",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophia Jan, M.D., M.S.H.P.
• Premal Jinesh Jani
• Olivia Rae Janssen, DO
• Patrick Lance Espirito Jariol
• Robert Alan Jason, M.D.
• Rajiv Jauhar, MD
• Sandeep Jauhar, MD
• Sam Javadian
• Kainaat Javed, MD
• Sharada Jayagopal, M.D.

• Registered Nurse in New Hyde Park, NY
• Providers in New Hyde Park, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; 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.