Individual provider Active NPI

Jennifer Leigh Appollo, N.P.P.

  • Psychiatric/Mental Health Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1578896825
Registry record updated Sep 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F401210-1 Issued in NY
Practice address
1543 Inwood Ave
Bronx, NY 10452-2001
Phone
(718) 299-1777
Fax
(718) 299-1420
NPI assigned
Sep 17, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F401210-1 NY Primary

Addresses

Primary practice location

1543 Inwood Ave
Bronx, NY 10452-2001

Mailing address

1543 Inwood Ave
Bronx, NY 10452-2001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091103000461 NY Practitioner - Nurse Practitioner 4486792991 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F401210-1NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Weill Medical College of Cornell CurrentSince Nov 1, 2024 Accepting new patients
The New York and Presbyterian Hospital Current Accepting new patients
The New York and Presbyterian Hospital CurrentSince Aug 24, 2019 Accepting new patients
New York and Presbyterian Hosp CurrentSince Aug 24, 2019 Accepting new patients
Weill Medical College of Cornell CurrentSince Nov 1, 2024 Accepting new patients
The New York and Presbyterian Hospital Past Accepting new patients

Locations

156 William St
New York, NY 10038
Phone (646) 962-4679

525 E 68th St
New York, NY 10065
Phone (212) 746-2846

21 Bloomingdale Rd
White Plains, NY 10605
Phone (914) 682-9100

21 Bloomingdale Rd
#159
White Plains, NY 10605
Phone (914) 682-9100

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: jea9018@direct.nyp.org
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1253145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253145600000",
    "number": "1578896825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1543 INWOOD AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104522001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1543 INWOOD AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104522001",
            "telephone_number": "718-299-1777",
            "fax_number": "718-299-1420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APPOLLO",
        "first_name": "JENNIFER",
        "middle_name": "LEIGH",
        "credential": "N.P.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-17",
        "last_updated": "2009-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F401210-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.