Individual provider Active NPI

Eileen Jean Jalandra Estera

  • School Registered Nurse
  • Elmhurst, NY
National Provider Identifier
1457066193
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
787700 Issued in NY
Practice address
5124 Van Loon St
Elmhurst, NY 11373-4255
Phone
(313) 241-1512
NPI assigned
Jan 17, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Registered Nurse 163WM0705X 78700 NY
School Registered Nurse 163WS0200X 787700 NY Primary

Addresses

Primary practice location

5124 Van Loon St
Elmhurst, NY 11373-4255

Mailing address

1345 Avenue of the Americas FL 11
New York, NY 10105-0013

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

LicenseStateTypeSpecialty
78700NYMDMedical-Surgical Registered Nurse
787700NYMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1673913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1457066193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 AVENUE OF THE AMERICAS FL 11",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101050013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5124 VAN LOON ST",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734255",
            "telephone_number": "313-241-1512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTERA",
        "first_name": "EILEEN JEAN",
        "middle_name": "JALANDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-17",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "NY",
            "license": "78700",
            "primary": false
        },
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "787700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; 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.