Active NPI
Johanna Valiquette, NURSE PRACTITIONER
- Adult Health Nurse Practitioner
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- F305099-1
- Practice address
- One Gustave Levy Mount Sinai Hospital
7TH Floor
New York, NY 10029 - Phone
- (646) 684-1524
- NPI assigned
- Oct 7, 2009
- Sex
- Female
- Sole proprietor
- No
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 Health Nurse Practitioner | 363LA2200X | F305099-1 | NY | Primary |
Addresses
Primary practice location
One Gustave Levy Mount Sinai Hospital
7TH Floor
New York, NY 10029
Mailing address
PO Box 1087
One Gustave Levy Mount Sinai Hospital
New York, NY 10029
Phone (646) 684-1524
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 305099 | NY | MD | Licensed Practical Nurse |
| F305099-1 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Past | Accepting new patients |
Locations
13620 38th Ave
Ste 5F
Flushing, NY 11354
Phone (347) 909-7041
5 E 98th St
Fl 7
New York, NY 10029
Phone (212) 241-0002
150 E 42nd St
Fl 10
New York, NY 10017
Phone (646) 605-8119
1010 N Broadway
Yonkers, NY 10701
Phone (914) 968-3535
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Obstetrics & Gynecology Physician
- New York, NY
- NPI 1124392212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408406400000",
"number": "1447585591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1087",
"address_2": "ONE GUSTAVE LEVY MOUNT SINAI HOSPITAL",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10029",
"telephone_number": "646-684-1524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ONE GUSTAVE LEVY MOUNT SINAI HOSPITAL",
"address_2": "7TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10029",
"telephone_number": "646-684-1524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALIQUETTE",
"first_name": "JOHANNA",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-07",
"last_updated": "2014-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F305099-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.