Pavithra Jaisankar, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

345097 Issued in NY

Practice address

2581 Atlantic Ave
Brooklyn, NY 11207-2412

Phone

(718) 495-6700

Fax

(646) 988-2840

NPI assigned

Sep 27, 2019

Last updated

Oct 5, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: zas9037@direct.nyp.org

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

{
    "created_epoch": "1569542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1295386514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 MADISON AVE FL 5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100101600",
            "telephone_number": "212-545-2400",
            "fax_number": "646-312-0481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2581 ATLANTIC AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112072412",
            "telephone_number": "718-495-6700",
            "fax_number": "646-988-2840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAISANKAR",
        "first_name": "PAVITHRA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-27",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "345097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05786407",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nikhita Jain, MD
• Nikita Jain
• Shalika Jain, RPT
• Vidisha Jain
• Vinayendra Kumar Jain, M.D.
• Francine Jaison, MS.ED, ADVANCED CERT
• Niharika Jaiswal, M.S., R.D., C.D.N
• Muhammed Jaiteh, M.D.
• Rina Jajate
• Alin Jajati

• Family Nurse Practitioner in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.