Prosper Jerome, NP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

308955 Issued in NY

Practice address

94 9TH St Unit 1-222
Brooklyn, NY 11215-3178

Phone

(212) 882-1110

Fax

(212) 882-1120

NPI assigned

Oct 3, 2018

Sex

Male

Sole proprietor

No

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

State licenses

Interoperability endpoints

• Direct secure messaging: prosper.jerome@2978.securemail.prognocis.com

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

{
    "created_epoch": "1538524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1528543733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 9TH ST UNIT 1-222",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112153178",
            "telephone_number": "212-882-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 9TH ST UNIT 1-222",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112153178",
            "telephone_number": "212-882-1110",
            "fax_number": "212-882-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEROME",
        "first_name": "PROSPER",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-03",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "308955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerome Street Clinic
• Eric Louis Jerome, M.D
• Jerma Jerome
• Leigh W. Jerome
• Melissa Jerome
• Rose Jerome
• Ruth Jerome
• Ygenie Jerome
• Larissa Jerominow
• Elisa Marie Jeronimo, LMSW

• All providers in Brooklyn, NY
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.