Judith Jazwinski Grant, ANP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

301019 F Issued in NY

Practice address

77 Shore Rd
Mount Sinai, NY 11766-1419

Phone

(631) 642-2200

Fax

(631) 642-2195

NPI assigned

Apr 11, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

State University of New York at Stony Brook, School of Medicine, 1994

Medicare assignment

May accept Medicare assignment

Group practices

Jjgnp in Adult Health, P.C.Group PAC ID 1658608658, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Jjgnp in Adult Health, P.C.

  • Adult Health Nurse Practitioner
  • Mount Sinai, NY
  • NPI 1487133294
  Medicare reassignment Care Compare group NPD
• Fingers From Heaven Inc

  • Acupuncturist
  • Miller Place, NY
  • NPI 1801489240
  NPD (past)
• Pathways to Health, LLC

  • Multi-Specialty Clinic/Center
  • Mount Sinai, NY
  • NPI 1689903940
  NPD (past)

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

{
    "created_epoch": "1491868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491868800000",
    "number": "1609309160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 SHORE RD",
            "city": "MOUNT SINAI",
            "state": "NY",
            "postal_code": "117661419",
            "telephone_number": "631-642-2200",
            "fax_number": "631-642-2195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 SHORE RD",
            "city": "MOUNT SINAI",
            "state": "NY",
            "postal_code": "117661419",
            "telephone_number": "631-642-2200",
            "fax_number": "631-642-2195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAZWINSKI GRANT",
        "first_name": "JUDITH",
        "credential": "ANP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-11",
        "last_updated": "2017-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "301019 F",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sundus Naz Imam, RN
• Independent Group Home Living
• Justine Jacobs, CPNP
• James P. Denunzio, D.D.S., P.L.L.C.
• Saad Javaid, MD
• Jeanette Lorandini, LCSW, PLLC
• Jjgnp in Adult Health, P.C.
• John T. Mather Memorial Hospital
• David Kahn, D.M.D.
• Dennis Sheldon Kahn, D.M.D.

• Adult Health Nurse Practitioner in Mount Sinai, NY
• Providers in Mount Sinai, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.