Organization Active NPI

JLP Medicine, PC

  • Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1407158470
Registry record updated Nov 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
257892 Issued in NY
Legal business name
JLP MEDICINE, PC
Practice address
2035 Ralph Ave
Suite a-4
Brooklyn, NY 11234-5300
Phone
(732) 306-4935
Fax
(732) 238-7115
NPI assigned
Nov 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2010

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

Authorized official

Name
Jodi Peska Mosseri, D.O.
Title
President
Phone
(732) 306-4935

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 257892 NY Primary

Addresses

Primary practice location

2035 Ralph Ave
Suite a-4
Brooklyn, NY 11234-5300

Mailing address

10 Timothy LN
East Brunswick, NJ 08816-4560
Phone (732) 306-4935

National Provider Directory

National Provider Directory

Locations

2035 Ralph Ave
Ste A4
Brooklyn, NY 11234
Phone (646) 226-7022

2035 Ralph Ave
#A4
Brooklyn, NY 11234
Phone (718) 676-1545

20 W 38th St
Ste 306
New York, NY 10018
Phone (212) 768-1600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1290556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290556800000",
    "number": "1407158470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 TIMOTHY LN",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088164560",
            "telephone_number": "732-306-4935",
            "fax_number": "732-238-7115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 RALPH AVE",
            "address_2": "SUITE A-4",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112345300",
            "telephone_number": "732-306-4935",
            "fax_number": "732-238-7115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JLP MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-24",
        "last_updated": "2010-11-24",
        "status": "A",
        "authorized_official_last_name": "PESKA MOSSERI",
        "authorized_official_first_name": "JODI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-306-4935",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "257892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2010; 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.