NPIMap

Organization Active NPI

Sharon de Jesus, NP in Psychiatry, BC, PLLC

Doing business as Private Practice Center of NY

  • Psychiatric/Mental Health Nurse Practitioner
  • Astoria, NY
National Provider Identifier
1538398052
Registry record updated Jan 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
400845 Issued in NY
Legal business name
SHARON DE JESUS, NP IN PSYCHIATRY, BC, PLLC
Doing business as
Private Practice Center of NY
Practice address
3016 31St St
Astoria, NY 11102-1866
Phone
(917) 557-5741
Fax
(347) 935-3936
NPI assigned
Jul 6, 2009
Last updated
Jan 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2011

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

Authorized official

Name
Sharon De Jesus, MS,NP-BCNPI 1710068192
Title
Nurse Practitioner/Owner
Phone
(347) 935-3333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 400845 NY Primary
Community/Behavioral Health Agency 251S00000X 400845 NY

Addresses

Primary practice location

3016 31St St
Astoria, NY 11102-1866

Mailing address

3016 31St St
Main FL
Astoria, NY 11102-1866
Phone (347) 935-3333

Other names 1

  • Private Practice Center of NY Doing business as

National Provider Directory

National Provider Directory

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1246838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295654400000",
    "number": "1538398052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3016 31ST ST",
            "address_2": "MAIN FL",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111021866",
            "telephone_number": "347-935-3333",
            "fax_number": "347-935-3936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3016 31ST ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111021866",
            "telephone_number": "917-557-5741",
            "fax_number": "347-935-3936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARON DE JESUS, NP IN PSYCHIATRY, BC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-06",
        "last_updated": "2011-01-22",
        "status": "A",
        "authorized_official_last_name": "DE JESUS",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/OWNER",
        "authorized_official_telephone_number": "347-935-3333",
        "authorized_official_credential": "MS,NP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "400845",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "400845",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Private Practice Center of NY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2011; 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.