Individual provider Active NPI

Taija Lynn Gjeci, FNP

  • Family Nurse Practitioner
  • Warwick, NY
National Provider Identifier
1245861954
Registry record updated Jan 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
345132 Issued in NY
Practice address
3 Saint Stephens PL Ste 3
Warwick, NY 10990-3210
Phone
(845) 987-7800
NPI assigned
Jan 31, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 345132 NY Primary

Addresses

Primary practice location

3 Saint Stephens PL Ste 3
Warwick, NY 10990-3210

Mailing address

33 Homestead Village Dr
Warwick, NY 10990-4211
Phone (914) 263-2386

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

400 Columbus Ave
Suite 200E
Valhalla, NY 10595-1396

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
345132NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Warwick Pediatrics, P.C CurrentSince Feb 2, 2020 Accepting new patients

Locations

3 Saint Stephens Pl
Ste 3
Warwick, NY 10990
Phone (845) 987-7800

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.

NPI Registry JSON

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

{
    "created_epoch": "1580428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580428800000",
    "number": "1245861954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 HOMESTEAD VILLAGE DR",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109904211",
            "telephone_number": "914-263-2386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 SAINT STEPHENS PL STE 3",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109903210",
            "telephone_number": "845-987-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GJECI",
        "first_name": "TAIJA",
        "middle_name": "LYNN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-31",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "345132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, NY

Sources for this page

Verify at the official NPI Registry.