Individual provider Active NPI

Ashu Jaswal

  • Psychiatric/Mental Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1457103152
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F404968 Issued in NY
Practice address
500 Dekalb Ave
Brooklyn, NY 11205-5243
Phone
(718) 964-6161
NPI assigned
Apr 4, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F404968 NY Primary

Addresses

Primary practice location

500 Dekalb Ave
Brooklyn, NY 11205-5243

Mailing address

500 Dekalb Ave
Brooklyn, NY 11205-5243

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240430000424 NY Practitioner - Nurse Practitioner 8729428388 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F404968NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Modern Psychiatric Nurse Practitioner PC Psychiatric/Mental Health CurrentSince May 22, 2024 Accepting new patients

Locations

250 Skillman St
Ste 204
Brooklyn, NY 11205
Phone (513) 341-7173

250 Skillman St
Ste 202
Brooklyn, NY 11205

1740 84th St
Brooklyn, NY 11214
Phone (718) 232-3666

315 Beach 9th St
Far Rockaway, NY 11691
Phone (516) 833-7469

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1712188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1457103152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 DEKALB AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112055243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 DEKALB AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112055243",
            "telephone_number": "718-964-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASWAL",
        "first_name": "ASHU",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-04",
        "last_updated": "2024-04-04",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F404968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.