Individual provider Active NPI

Jesuta Ludovic, FNP

  • Family Nurse Practitioner
  • Monsey, NY
National Provider Identifier
1396087045
Registry record updated Sep 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F336707 Issued in NY
Practice address
40 Robert Pitt Dr
Community Medical and Dental Care
Monsey, NY 10952-3333
Phone
(845) 352-6800
NPI assigned
Mar 20, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F336707 NY Primary

Addresses

Primary practice location

40 Robert Pitt Dr
Community Medical and Dental Care
Monsey, NY 10952-3333

Mailing address

40 Robert Pitt Dr,
Community Medical & Dental Care
Monsey, NY 10952-7233
Phone (845) 352-6800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F336707NYMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410998400000",
    "number": "1396087045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 ROBERT PITT DR,",
            "address_2": "COMMUNITY MEDICAL & DENTAL CARE",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "109527233",
            "telephone_number": "845-352-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 ROBERT PITT DR",
            "address_2": "COMMUNITY MEDICAL AND DENTAL CARE",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "109523333",
            "telephone_number": "845-352-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUDOVIC",
        "first_name": "JESUTA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-20",
        "last_updated": "2014-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F336707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monsey, NY

Sources for this page

Verify at the official NPI Registry.