PJS Professional Nurse Practitioner in Adult Health PLLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

304949 Issued in NY

Legal business name

PJS PROFESSIONAL NURSE PRACTITIONER IN ADULT HEALTH PLLC

Practice address

22 Mississippi Ave
Port Jefferson Station, NY 11776-3012

Phone

(631) 790-1239

NPI assigned

Dec 2, 2013

Last updated

Dec 2, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Luis J Ehrman Sr., ANP-CNPI 1568617645

Title

Owner

Phone

(631) 790-1239

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Luis J Ehrman Sr., ANP-C

  • Adult Health Nurse Practitioner
  • Port Jefferson Station, NY
  • NPI 1568617645
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1385942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385942400000",
    "number": "1265863245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 MISSISSIPPI AVE",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117763012",
            "telephone_number": "631-790-1239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 MISSISSIPPI AVE",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117763012",
            "telephone_number": "631-790-1239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PJS PROFESSIONAL NURSE PRACTITIONER IN ADULT HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-02",
        "last_updated": "2013-12-02",
        "status": "A",
        "authorized_official_last_name": "EHRMAN",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-790-1239",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "ANP-C"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "304949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03075505",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandra Piezzo
• Frances Pistone
• PJ Optical
• PJ Pharmacy Inc
• PJS Medical Diagnostic PLLC
• PJS Registered Professional Nursing PC
• Julie A Plantamura, ANPC
• Kimberly Plaspohl
• Platinum51
• Stuart Plotkin, DPM

• Skilled Nursing Facility in Port Jefferson Station, NY
• Providers in Port Jefferson Station, NY by specialty
• Skilled Nursing Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.