Active NPI
Jeanette Bernardino-Pascual, RN
- Adult Psychiatric/Mental Health Registered Nurse
- Ny, NY
National Provider Identifier
1316585326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Registered Nurse
- License
- 517244
- Practice address
- 600 East 125TH Street
Wards Island Complex
Ny, NY 10035 - Phone
- (646) 672-6802
- NPI assigned
- Dec 20, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 Psychiatric/Mental Health Registered Nurse | 163WP0809X | 517244 | NY | Primary |
Addresses
Primary practice location
600 East 125TH Street
Wards Island Complex
Ny, NY 10035
Mailing address
600 East 125TH Street
Wards Island Complex
Ny, NY 10035
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 517244 | NY | MD | Adult Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576800000000",
"number": "1316585326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 EAST 125TH STREET",
"address_2": "WARDS ISLAND COMPLEX",
"city": "NY",
"state": "NY",
"postal_code": "10035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 EAST 125TH STREET",
"address_2": "WARDS ISLAND COMPLEX",
"city": "NY",
"state": "NY",
"postal_code": "10035",
"telephone_number": "646-672-6802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNARDINO-PASCUAL",
"first_name": "JEANETTE",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-12-20",
"last_updated": "2019-12-20",
"certification_date": "2019-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "NY",
"license": "517244",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ny, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.