Organization Active NPI

Pearl Joyce Graham Home Healthcare Services

  • Adult Health Nurse Practitioner
  • Elmont, NY
National Provider Identifier
1538980248
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
PEARL JOYCE GRAHAM HOME HEALTHCARE SERVICES
Practice address
109 King CT
Elmont, NY 11003-4226
Phone
(516) 590-5132
NPI assigned
Oct 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Authorized official

Name
Mr. Muhammad Usama Jamil
Title
Director Billing
Phone
(307) 241-6004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2200X Primary

Addresses

Primary practice location

109 King CT
Elmont, NY 11003-4226

Mailing address

109 King CT
Elmont, NY 11003-4226

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.

NPI Registry JSON

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

{
    "created_epoch": "1729728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729728000000",
    "number": "1538980248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 KING CT",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110034226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 KING CT",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110034226",
            "telephone_number": "516-590-5132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL JOYCE GRAHAM HOME HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-24",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A",
        "authorized_official_last_name": "JAMIL",
        "authorized_official_first_name": "MUHAMMAD USAMA",
        "authorized_official_title_or_position": "DIRECTOR BILLING",
        "authorized_official_telephone_number": "307-241-6004",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmont, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.