Individual provider Active NPI

Justyna Parsons

  • Adult Health Nurse Practitioner
  • Farmingdale, NY
National Provider Identifier
1245684208
Registry record updated Apr 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F307014-1 Issued in NY
Practice address
32 Powell St
Farmingdale, NY 11735-5008
Phone
(516) 503-7311
NPI assigned
Apr 15, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Registered Nurse 163WM0705X 603545-1 NY
Adult Health Nurse Practitioner 363LA2200X F307014-1 NY Primary

Addresses

Primary practice location

32 Powell St
Farmingdale, NY 11735-5008

Mailing address

32 Powell St
Farmingdale, NY 11735-5008
Phone (516) 503-7311

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
603545-1NYMDMedical-Surgical Registered Nurse
F307014-1NYMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1460678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460678400000",
    "number": "1245684208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 POWELL ST",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117355008",
            "telephone_number": "516-503-7311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 POWELL ST",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117355008",
            "telephone_number": "516-503-7311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARSONS",
        "first_name": "JUSTYNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-15",
        "last_updated": "2016-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "NY",
            "license": "603545-1",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F307014-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmingdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2016; 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.