Active NPI
Jean E Engstrom, REGISTERED PROF. NUR
- School Registered Nurse
- Bronx, NY
National Provider Identifier
1487906228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 313987
- Practice address
- 2916 St. Theresa Ave
Apt #3D
Bronx, NY 10461-4144 - Phone
- (914) 290-9920
- NPI assigned
- Oct 3, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 313987 | NY | Primary |
Addresses
Primary practice location
2916 St. Theresa Ave
Apt #3D
Bronx, NY 10461-4144
Mailing address
2916 St. Theresa Ave
Apt #3D
Bronx, NY 10461-4144
Phone (914) 290-9920
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
| License | State | Type | Specialty |
|---|---|---|---|
| 313987 | NY | MD | Rheumatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349222400000",
"number": "1487906228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2916 ST. THERESA AVE",
"address_2": "APT #3D",
"city": "BRONX",
"state": "NY",
"postal_code": "104614144",
"telephone_number": "914-290-9920",
"fax_number": "718-589-8061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2916 ST. THERESA AVE",
"address_2": "APT #3D",
"city": "BRONX",
"state": "NY",
"postal_code": "104614144",
"telephone_number": "914-290-9920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENGSTROM",
"first_name": "JEAN",
"middle_name": "E",
"name_prefix": "Ms.",
"credential": "REGISTERED PROF. NUR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-03",
"last_updated": "2012-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "NY",
"license": "313987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.