Jeanne Severe, PHYSICIAN ASSISTANT

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

003776 Issued in NY

Practice address

202 W 102ND St
Apt # 3Ef
New York, NY 10025-8700

Phone

(917) 399-8736

Fax

(212) 316-6130

NPI assigned

Aug 19, 2014

Last updated

Aug 19, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jeanne Severe Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Buymenowproperties LLC

  • Health Service Clinic/Center
  • New York, NY
  • NPI 1710233283
  NPD (past) Authorized official

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

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408406400000",
    "number": "1649679234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 W 102ND ST",
            "address_2": "APT # 3EF",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100258700",
            "telephone_number": "917-399-8736",
            "fax_number": "212-316-6130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 W 102ND ST",
            "address_2": "APT # 3EF",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100258700",
            "telephone_number": "917-399-8736",
            "fax_number": "212-316-6130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVERE",
        "first_name": "JEANNE",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-19",
        "last_updated": "2014-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "003776",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "003776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANNE",
            "last_name": "SEVERE",
            "credential": "PA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Seventh Elm Drug Corp (Elm Drugs)
• Seventh Elm Drug Corp. (Elm Care Health Organization)
• Seventy Second Street Medical Associates, P.C.
• Alper Sever
• Ronen Sever
• Armando J. Severino, LMHC
• Christie Severino, MSW
• Peter Severino, LCSW-R
• Angela Severn, ATC, CSCS
• Fatima Severo

• Medical Physician Assistant in New York, NY
• Providers in New York, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; 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.