Individual provider Active NPI

Jorda Piskuloska, NP

  • Adult Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1609377613
Registry record updated Feb 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F3081171 Issued in NY
Practice address
113 E 39TH St # 115
New York, NY 10016-0968
Phone
(212) 223-0716
NPI assigned
Feb 25, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F3081171 NY Primary

Addresses

Primary practice location

113 E 39TH St # 115
New York, NY 10016-0968

Mailing address

2470 Rossett St
Fort Lee, NJ 07024-3918
Phone (973) 713-8199

Other identifiers 1

IdentifierTypeStateIssuer
9666558OtherNYNURSE PRACTITIONER CERTIFICATE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F3081171NYMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1519516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519516800000",
    "number": "1609377613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2470 ROSSETT ST",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070243918",
            "telephone_number": "973-713-8199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 E 39TH ST # 115",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100160968",
            "telephone_number": "212-223-0716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PISKULOSKA",
        "first_name": "JORDA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-25",
        "last_updated": "2018-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F3081171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER CERTIFICATE NUMBER",
            "identifier": "9666558",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2018; 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.