Jason T Ephraim, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

923967 Issued in NY

Practice address

22215 Northern Blvd
Bayside, NY 11361-3678

Phone

(631) 690-5155

NPI assigned

Feb 20, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1708387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1487419149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11045 QUEENS BLVD APT 714",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755504",
            "telephone_number": "347-558-1661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22215 NORTHERN BLVD",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113613678",
            "telephone_number": "631-690-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EPHRAIM",
        "first_name": "JASON",
        "middle_name": "T",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-20",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "923967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Empire Ny Orthopedics PC
• Empower U Wellness Networks LLC
• Enabling Therapy OT LLC
• Endodontic Associates of Bayside, PLLC
• Deirdre Eng, TEACHER
• Donna Episcopio, RPH
• Caron Epstein, MA, CCC-SLP
• Julie Burroughs Erdman, LCSW
• Jeffrey Espinal, PARAMEDIC
• Essence of Beauty Med Spa

• Registered Nurse in Bayside, NY
• Providers in Bayside, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.