Individual provider Active NPI

Nathalie Jette, MD MSC FRCPC

  • Clinical Neurophysiology Physician
  • New York, NY
National Provider Identifier
1275068082
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
License
2882721 Issued in NY
Practice address
Mount Sinai Hospital
1468 Madison Avenue, Dept Neurology, Annenberg 2ND FL.
New York, NY 10029
Phone
(212) 241-5050
NPI assigned
Apr 30, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neurophysiology Physician 2084N0600X 2882721 NY Primary
Neurology Physician 2084N0400X 2882721 NY

Addresses

Primary practice location

Mount Sinai Hospital
1468 Madison Avenue, Dept Neurology, Annenberg 2ND FL.
New York, NY 10029

Mailing address

PO Box 1137
New York, NY 10029-0312

Other practice location 1

Foothills Medical Centre, Dept of Clinical Neuroscienc
1403 29 Street NW, Room C1209
Calgary, Alberta T2N2T9
CA
Phone (403) 944-2760

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
Credentials
Doctor of Medicine, Master of Science

State licenses

LicenseStateTypeSpecialty
288272NYMDLicensed Practical Nurse
2882721NYMDNeurology Physician

NPI Registry JSON

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

{
    "created_epoch": "1493510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1275068082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1137",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100290312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MOUNT SINAI HOSPITAL",
            "address_2": "1468 MADISON AVENUE, DEPT NEUROLOGY, ANNENBERG 2ND FL.",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10029",
            "telephone_number": "212-241-5050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Foothills Medical Centre, Dept of Clinical Neuroscienc",
            "address_2": "1403 29 Street NW, Room C1209",
            "address_purpose": "LOCATION",
            "city": "Calgary",
            "state": "Alberta",
            "postal_code": "T2N2T9",
            "country_code": "CA",
            "telephone_number": "403-944-2760",
            "country_name": "Canada",
            "address_type": "FGN"
        }
    ],
    "basic": {
        "last_name": "JETTE",
        "first_name": "NATHALIE",
        "name_prefix": "Dr.",
        "credential": "MD MSC FRCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-30",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "NY",
            "license": "2882721",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "2882721",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; 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.