Active NPI
Nathalie Jette, MD MSC FRCPC
- Clinical Neurophysiology Physician
- New York, NY
National Provider Identifier
1275068082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neurophysiology Physician
- License
- 2882721
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 288272 | NY | MD | Licensed Practical Nurse |
| 2882721 | NY | MD | Neurology 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.