Active NPI
Jenet Dipak Sisodia
- School Registered Nurse
- Staten Island, NY
National Provider Identifier
1689578742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 74251201
- Practice address
- 262 Harbor Rd
Staten Island, NY 10303-1817 - Phone
- (347) 909-6022
- NPI assigned
- Oct 5, 2026
- Last updated
- Oct 5, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 74251201 | NY | Primary |
Addresses
Primary practice location
262 Harbor Rd
Staten Island, NY 10303-1817
Mailing address
262 Harbor Rd
Staten Island, NY 10303-1817
Phone (347) 951-4694
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791158400000",
"number": "1689578742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "262 HARBOR RD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103031817",
"telephone_number": "347-951-4694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "262 HARBOR RD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103031817",
"telephone_number": "347-909-6022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SISODIA",
"first_name": "JENET",
"middle_name": "DIPAK",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-10-05",
"last_updated": "2026-10-05",
"certification_date": "2026-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "NY",
"license": "74251201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
- Lisa Siracusa, RPA
- Mariano Siragusa
- Mary Siragusa, RN
- Tara Siragusa, OTR/L
- Shalini Sirisena, PHYSICIAN ASSISTANT
- Sisters of Charity Health Care Systems NH Inc (Saint Elizabeth Anns hcrc aadc)
- Sisters of Charity Health Care Systems NH Inc (St. Elizabeth Anns HC&RC)
- Mary Ann Sisto Clark, LCSW
- Amanda Rose Sisto, NP
- Pui Man Sit, NP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.