Organization Active NPI

Cynthia E Jaffe, LTD

  • Family Nurse Practitioner
  • Northbrook, IL
National Provider Identifier
1578811873
Registry record updated Sep 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209009692 Issued in IL
Legal business name
CYNTHIA E JAFFE, LTD
Practice address
1251 Shermer Rd
Northbrook, IL 60062-4599
Phone
(312) 939-5960
Fax
(312) 896-9394
NPI assigned
Aug 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2012

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

Authorized official

Name
Cynthia Jaffe, NP-CNPI 1699854778
Title
President
Phone
(847) 830-8748

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)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 209009692 IL Primary

Addresses

Primary practice location

1251 Shermer Rd
Northbrook, IL 60062-4599

Mailing address

1215 Daryl LN
Northbrook, IL 60062-4610
Phone (847) 830-8748

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": "1345161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346716800000",
    "number": "1578811873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 DARYL LN",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624610",
            "telephone_number": "847-830-8748",
            "fax_number": "312-896-9394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 SHERMER RD",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624599",
            "telephone_number": "312-939-5960",
            "fax_number": "312-896-9394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYNTHIA E JAFFE, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-17",
        "last_updated": "2012-09-04",
        "status": "A",
        "authorized_official_last_name": "JAFFE",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-830-8748",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209009692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2012; 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.