Active NPI
Nadja Louisjacques, NP in Family Health P.C.
- Nurse Practitioner
- Brooklyn, NY
National Provider Identifier
1588102727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- NADJA LOUISJACQUES, NP IN FAMILY HEALTH P.C.
- Practice address
- 1210 Nostrand Avenue
Brooklyn, NY 11225 - Phone
- (718) 778-0937
- Fax
- (718) 778-0933
- NPI assigned
- Feb 8, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nadja Louis-Jacques, FNP
- Title
- Nurse Practitioner
- Phone
- (516) 782-6728
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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Pediatrics Physician | 208000000X | |||
| Nurse Practitioner | 363L00000X | Primary | ||
| Family Nurse Practitioner | 363LF0000X | 336938 | NY |
Addresses
Primary practice location
1210 Nostrand Avenue
Brooklyn, NY 11225
Mailing address
319 Southwood Circle
Syosset, NY 11791
Phone (718) 778-0937
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02679972 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1210 Nostrand Ave
Brooklyn, NY 11225
Phone (718) 755-3335
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Brooklyn, NY
- NPI 1982852497
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486512000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1600905600000",
"number": "1588102727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "319 SOUTHWOOD CIRCLE",
"city": "SYOSSET",
"state": "NY",
"postal_code": "11791",
"telephone_number": "718-778-0937",
"fax_number": "718-776-0933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1210 NOSTRAND AVENUE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11225",
"telephone_number": "718-778-0937",
"fax_number": "718-778-0933"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NADJA LOUISJACQUES, NP IN FAMILY HEALTH P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2017-02-08",
"last_updated": "2020-09-24",
"certification_date": "2020-09-24",
"status": "A",
"authorized_official_last_name": "LOUIS-JACQUES",
"authorized_official_first_name": "NADJA",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "516-782-6728",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "336938",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02679972",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; 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.