Jan Jeremiah, FNP-BC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

F344290-1 Issued in NY

Practice address

3839 Flatlands Ave Ste 100
Brooklyn, NY 11234-3535

Phone

(718) 338-5024

Fax

(718) 338-5029

NPI assigned

May 27, 2020

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles (2 of 6)

Locations

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H9678

Interoperability endpoints

• Direct secure messaging: jan.jeremiah.p1@direct.mmc.nextgenshare.com

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.

• Maimonides Faculty Practice Plan

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1053344846

  NY

  Medicare reassignment
• Flatlands Medical Associates, PLLC

  • Ambulatory Surgical Clinic/Center
  • Brooklyn, NY
  • NPI 1124322201
  NPD
• Maimonides Medical Center Division of Otolaryngology FPP

  • Otolaryngology Physician
  • Brooklyn, NY
  • NPI 1164608501
  NPD (past)

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

{
    "created_epoch": "1590537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593561600000",
    "number": "1619590486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3839 FLATLANDS AVE STE 100",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112343535",
            "telephone_number": "718-338-5024",
            "fax_number": "718-338-5029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3839 FLATLANDS AVE STE 100",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112343535",
            "telephone_number": "718-338-5024",
            "fax_number": "718-338-5029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEREMIAH",
        "first_name": "JAN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-27",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NY",
            "license": "F344290-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Mitchell Jeong, D.O
• Joseph Jeong
• Kevin Jeong, DPM
• Jeremiah M Gelles, MD PC
• Rhonisha Jeremiah-King
• Katrina F Jeremiah
• Renee Camielle Jeremiah, SLP
• Branny Jeremias Reiner
• Renee Jeremias, SLP
• Kender Jeremie, RN

• All providers in Brooklyn, NY
• Primary Care Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.