Active NPI
Jade Maslosky, REGISTERED NURSE
- Registered Nurse
- Port Jefferson Station, NY
National Provider Identifier
1396035309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 812011
- Practice address
- 19 School Dr
Port Jefferson Station, NY 11776-2920 - Phone
- (631) 921-0366
- NPI assigned
- Apr 11, 2011
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 812011 | NY | Primary |
Addresses
Primary practice location
19 School Dr
Port Jefferson Station, NY 11776-2920
Mailing address
19 School Dr
Port Jefferson Station, NY 11776-2920
Phone (631) 921-0366
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 812011 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656547200000",
"number": "1396035309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 SCHOOL DR",
"city": "PORT JEFFERSON STATION",
"state": "NY",
"postal_code": "117762920",
"telephone_number": "631-921-0366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 SCHOOL DR",
"city": "PORT JEFFERSON STATION",
"state": "NY",
"postal_code": "117762920",
"telephone_number": "631-921-0366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASLOSKY",
"first_name": "JADE",
"name_prefix": "Mrs.",
"credential": "REGISTERED NURSE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-11",
"last_updated": "2022-06-30",
"certification_date": "2022-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "812011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Jefferson Station, NY
- Maryhaven Center of Hope Inc
- Maryhaven Center of Hope,Inc
- Joanne Amalia Marzullo-Manez, M.S.
- Adelaide Lu Masakayan, M.D.
- Brandon Theodore Maslosky, L.P.N.
- Felicity Joy Masone
- Gabrielle Luisa Massucci, MS CF-SLP TSSLD
- Kristyn Leigh Mastridge
- Andrew Vincent Mastronardi, DMD
- Paul Mastrorocco, DISPENSING OPTICIAN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.