Jonathan Brett Jassey, D.O.

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

243849-1 Issued in NY

Practice address

1520 Old Northern Blvd
Roslyn, NY 11576-1126

Phone

(516) 514-7337

Fax

(802) 491-8229

NPI assigned

May 7, 2007

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Concierge Pediatrics, PC

  • Pediatrics Physician
  • Roslyn, NY
  • NPI 1265155295
  NPD Authorized official

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1689887705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 HARVEST CT",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117465602",
            "telephone_number": "631-486-4561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 OLD NORTHERN BLVD",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115761126",
            "telephone_number": "516-514-7337",
            "fax_number": "802-491-8229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASSEY",
        "first_name": "JONATHAN",
        "middle_name": "BRETT",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NY",
            "license": "243849-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ira Goldberg, D.M.D., PLLC
• Island Interventional Cardiology,P.C.
• Diana D. Ivezaj, NP
• Jag Nutrition PLLC
• Chetak Jain, PHARMD
• Vinod K. Jayam, M.D.
• Jenna Litt Nutrition, LLC
• Jeremy Nikfarjam MD PC
• Jeremy Nikfarjam Medical, PC
• Rita A Jermyn, MD

• Pediatric Adolescent Medicine Physician in Roslyn, NY
• Providers in Roslyn, NY by specialty
• Pediatric Adolescent Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; 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.