Jasmine Daniels, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ01124300 Issued in NJ

Practice address

303 Franklin Ave
Wyckoff, NJ 07481-2095

Phone

(201) 891-6660

NPI assigned

Jan 7, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other names 1

• Jasmine Black Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NJ, NY2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/26288/brand/1/csg/1/fhir/r4

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.

• Nurse Practitioner Professional Resources

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  • Blackwood, NJ
  • NPI 1558516260
  Medicare reassignment NPD
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  • General Practice Physician
  • Princeton, NJ
  • NPI 1174187728
  Medicare reassignment NPD
• BP Immediate Medical Care, PC

  • Urgent Care Clinic/Center
  • Brooklyn, NY
  • NPI 1205105004
  Medicare reassignment NPD
• Daniel S. Berman, M.D., Infectious Diseases P.C.

  • Infectious Disease Physician
  • Monroe, NY
  • NPI 1972018208
  Medicare reassignment NPD
• Medical Diagnostics of Rockland PC

  • Sleep Medicine (Internal Medicine) Physician
  • Airmont, NY
  • NPI 1942634555
  Medicare reassignment NPD
• Iz Mind & Body Healing

  • Family Nurse Practitioner
  • Stewartsville, NJ
  • NPI 1962342741
  NPD Authorized official
• Dr Philip R.Baldeo Medical Services,PC

  • Family Medicine Physician
  • Queens, NY
  • NPI 1427337393
  Medicare reassignment
• Pharma Holding Inc

  • Pharmacy
  • Brooklyn, NY
  • NPI 1396153680
  NPD (past)
• Rockland Medical Group, PLLC

  • Internal Medicine Physician
  • Garnerville, NY
  • NPI 1336172501
  NPD (past)

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

{
    "created_epoch": "1609977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1639767445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 NJ-57",
            "city": "STEWARTSVILLE",
            "state": "NJ",
            "postal_code": "088865923",
            "telephone_number": "551-343-9684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 FRANKLIN AVE",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074812095",
            "telephone_number": "201-891-6660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "JASMINE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-07",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR22391000",
            "primary": false
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "NY",
            "license": "707155",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F346783",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01124300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jdaniels10@northwell.edu",
            "affiliation": "Y",
            "endpointDescription": "work email",
            "affiliationName": "Northwell Health",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "101 Saint Andrews Ln",
            "city": "Glen Cove",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115422254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JASMINE",
            "last_name": "BLACK",
            "credential": "NP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Patricia D'Amato
• Michael Christopher D'Arienzo, D.C.
• Michael John D'Arienzo, D.C.
• Emily Dalvano, M.A., CCC-SLP
• Dana M. Costello, Pediatric Physical Therapy, LLC
• David J. Gallina, MD, PA
• David Yorio DO
• Jonathan Davis
• DBG Counseling
• Daniel Scott De Feo, D.O.

• Family Nurse Practitioner in Wyckoff, NJ
• Providers in Wyckoff, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.