Jjbrothershope

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

JJBROTHERSHOPE

Practice address

223 Pleasant Valley Way
West Orange, NJ 07052-2907

Phone

(973) 489-9615

NPI assigned

Jun 13, 2024

Organization subpart

No

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

Authorized official

Name

Wislande Fleurissant, NPNPI 1295447027

Title

FNP-BC

Phone

(973) 489-9615

Specialties & licenses 1

Addresses

Other names 1

• JJ HEALING AND WELLNESS Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wislande Fleurissant

  • Family Nurse Practitioner
  • West Orange, NJ
  • NPI 1295447027
  Medicare reassignment NPD Authorized official
• Michael Thomas Farr, MD

  • Surgery Physician
  • Red Bank, NJ
  • NPI 1275912008

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1718236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718668800000",
    "number": "1538902002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 PLEASANT VALLEY WAY",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522907",
            "telephone_number": "973-489-9615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 PLEASANT VALLEY WAY",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522907",
            "telephone_number": "973-489-9615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JJBROTHERSHOPE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-13",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A",
        "authorized_official_last_name": "FLEURISSANT",
        "authorized_official_first_name": "WISLANDE",
        "authorized_official_title_or_position": "FNP-BC",
        "authorized_official_telephone_number": "973-489-9615",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JJ HEALING AND WELLNESS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "JJ HEALING AND WELLNESS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jewish Service for the Developmentally Disabled
• Jewish Service for the Developmentally Disabled of Metrowest, Inc.
• Jewish Service for the Developmentally Disabled of Metrowest, Inc.
• Jewish Service for the Developmentally Disabled Or Metrowest, Inc.
• Jireh Healthcare LLC
• Jmi Medical Services LLC
• John N Green, M.D.,PA
• Johnson and Jones, LLC
• Colleen Ellen Johnson, M.S,, R.D.
• Craig Steven Johnson

• Family Nurse Practitioner in West Orange, NJ
• Providers in West Orange, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.