Active NPI
NYU Lagone Health
- Acute Care Nurse Practitioner
- New York, NY
National Provider Identifier
1497468334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- Legal business name
- NYU LAGONE HEALTH
- Practice address
- 462 1St Ave
New York, NY 10016-9196 - Phone
- (732) 910-2953
- NPI assigned
- Jan 5, 2023
- Last updated
- Jan 5, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeanette Jimenez, DNP, AGACNP-BC
- Title
- Nurse Practitioner
- Phone
- (732) 910-2953
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | Primary |
Addresses
Primary practice location
462 1St Ave
New York, NY 10016-9196
Mailing address
34 Flagstone Dr
Port Reading, NJ 07064-1210
Phone (732) 910-2953
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Gerontology Nurse Practitioner
- New York, NY
- NPI 1225742117
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672876800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1672876800000",
"number": "1497468334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 FLAGSTONE DR",
"city": "PORT READING",
"state": "NJ",
"postal_code": "070641210",
"telephone_number": "732-910-2953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "462 1ST AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100169196",
"telephone_number": "732-910-2953"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NYU LAGONE HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-05",
"last_updated": "2023-01-05",
"certification_date": "2023-01-05",
"status": "A",
"authorized_official_last_name": "JIMENEZ",
"authorized_official_first_name": "JEANETTE",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "732-910-2953",
"authorized_official_credential": "DNP, AGACNP-BC"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Acute Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
- NYU Hospitals Center
- NYU Hospitals Center
- NYU Hospitals Center
- NYU Imaging, Inc.
- NYU Internal Medicine Associates
- NYU Langone
- NYU Langone Hospitals (NYU Langone Rusk Ambulatory Care Center)
- NYU Langone Hospitals
- NYU Langone Hospitals (NYU Langone Hassenfeld and Fink Children's Center)
- NYU Langone Hospitals
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.