NPIMap

Organization Active NPI

Jjgnp in Adult Health, P.C.

  • Adult Health Nurse Practitioner
  • Mount Sinai, NY
National Provider Identifier
1487133294
Registry record updated Aug 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
JJGNP IN ADULT HEALTH, P.C.
Practice address
77 Shore Rd
Mount Sinai, NY 11766-1419
Phone
(631) 642-2200
Fax
(631) 642-2195
NPI assigned
Aug 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2018

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

Authorized official

Name
William Bezmen, PH. D, PMH, C.N.S.NPI 1568989218
Title
Authorized Official
Phone
(516) 659-5109

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2200X Primary
Psychiatric/Mental Health Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 364SP0808X

Addresses

Primary practice location

77 Shore Rd
Mount Sinai, NY 11766-1419

Mailing address

77 Shore Rd
Mount Sinai, NY 11766-1419
Phone (631) 642-2200

Other names 1

  • Neuro Pathways Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190814001742 NY Part B Supplier - Clinic/Group Practice 1658608658 Receives reassigned benefits from 3 practitioners
Practice locations: Mount Sinai, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

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": "1534118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534118400000",
    "number": "1487133294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 SHORE RD",
            "city": "MOUNT SINAI",
            "state": "NY",
            "postal_code": "117661419",
            "telephone_number": "631-642-2200",
            "fax_number": "631-642-2195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 SHORE RD",
            "city": "MOUNT SINAI",
            "state": "NY",
            "postal_code": "117661419",
            "telephone_number": "631-642-2200",
            "fax_number": "631-642-2195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JJGNP IN ADULT HEALTH, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-13",
        "last_updated": "2018-08-13",
        "status": "A",
        "authorized_official_last_name": "BEZMEN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "516-659-5109",
        "authorized_official_credential": "PH. D, PMH, C.N.S."
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neuro Pathways",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Neuro Pathways",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Sinai, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2018; 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.