Active NPI
Jessica Berarducci
- Adult Health Nurse Practitioner
- New York, NY
National Provider Identifier
1255886198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- F307771-1
- Practice address
- 200 W 57TH St
Suite 200
New York, NY 10019-3211 - Phone
- (212) 399-7040
- NPI assigned
- Aug 21, 2016
- Last updated
- Aug 21, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | F307771-1 | NY | Primary |
Addresses
Primary practice location
200 W 57TH St
Suite 200
New York, NY 10019-3211
Mailing address
314 W 94TH St
Apt 5E
New York, NY 10025-6867
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F307771-1 | NY | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471737600000",
"number": "1255886198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "314 W 94TH ST",
"address_2": "APT 5E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100256867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W 57TH ST",
"address_2": "SUITE 200",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100193211",
"telephone_number": "212-399-7040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERARDUCCI",
"first_name": "JESSICA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-21",
"last_updated": "2016-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F307771-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
- Beranbaum, Khilnani, Neistadt, Jacobs, Hertz and Sherman, M.D., P.C. (Manhattan Diagnostic Radiology)
- Beranbaum, Khilnani, Neistadt, Jacobs, Hertz and Sherman, M.D., P.C. (Breastlink of New York)
- Sarah Elizabeth Beranbaum, PHD
- Giammauro Berardi, MD, PHD
- Robert Berardi
- Recaredo Trinidad Berbano, MD
- Rony Berbara, M.D.
- May Berbari, MS, CCC-SLP
- Felicia Kelly Berben, PHARMD
- Francis Berberena, LMSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.