JD Services Nurse Practitioner in Adult Health PLLC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

Legal business name

JD SERVICES NURSE PRACTITIONER IN ADULT HEALTH PLLC

Practice address

612 Corporate Way Ste 2M
Valley Cottage, NY 10989-2027

Phone

(718) 362-1411

Fax

(718) 362-1651

NPI assigned

Sep 3, 2025

Organization subpart

No

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

Authorized official

Name

Jennifer Davis, NPNPI 1366048357

Title

Owner

Phone

(718) 362-1411

Specialties & licenses 1

Addresses

Other names 1

• DE Medical Consultants Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 2

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

• Jennifer Lynn Davis, NP

  • Adult Health Nurse Practitioner
  • East Aurora, NY
  • NPI 1366048357
  Medicare reassignment NPD Authorized official
• Elizabeth Anne Leiser, NP

  • Adult Health Nurse Practitioner
  • Kenmore, NY
  • NPI 1144576265
  Medicare reassignment NPD

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

{
    "created_epoch": "1756857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757030400000",
    "number": "1407736226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 CORPORATE WAY STE 2M",
            "city": "VALLEY COTTAGE",
            "state": "NY",
            "postal_code": "109892027",
            "telephone_number": "718-362-1411",
            "fax_number": "718-362-1651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 CORPORATE WAY STE 2M",
            "city": "VALLEY COTTAGE",
            "state": "NY",
            "postal_code": "109892027",
            "telephone_number": "718-362-1411",
            "fax_number": "718-362-1651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JD SERVICES NURSE PRACTITIONER IN ADULT HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-03",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-362-1411",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DE Medical Consultants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Integrated Podiatry PC
• Jessica Isaac, COTA
• Jenna Lee Isker
• Alesia Jacks
• James P. Kotorac, DC, PC
• Kathleen Johanson, D.O
• Rosakutty Joseph
• Shelly M Joseph, OTR/L
• Rency Joshua, RPH
• Rachelle Kalinsky

• Adult Health Nurse Practitioner in Valley Cottage, NY
• Providers in Valley Cottage, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.