Anne Cherisme Justafort, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

351221 Issued in NY

Practice address

1934 Commonwealth Ave
Merrick, NY 11566-3430

Phone

(347) 451-1865

NPI assigned

Jan 31, 2023

Last updated

Jan 31, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Anne Cherisme Former name

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Brookview Medical Associates, PLLC

  • General Practice Physician
  • Bohemia, NY
  • NPI 1871965855
  Medicare reassignment
• Q Management, Inc.

  dba Quality Medical Care

  • Family Medicine Physician
  • Brentwood, NY
  • NPI 1851779672
  NPD

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

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1720784879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1934 COMMONWEALTH AVE",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115663430",
            "telephone_number": "347-451-1865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1934 COMMONWEALTH AVE",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115663430",
            "telephone_number": "347-451-1865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERISME JUSTAFORT",
        "first_name": "ANNE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-31",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "351221",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "785488",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNE",
            "last_name": "CHERISME",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Barbie Ann Cervoni, RD, CDE
• Joy C. Cesarski-Loew, CCC-SLP
• Matthew Chan, DPT
• Jennifer Chasin
• Qiaoran Chen, PHARMD
• Chiropractic Diagnostic Testing (Pure Image Group)
• Alexis Marie Chiusano, FNP
• Stacy H Cho, DMD
• Jennifer Choi, LCSW
• Sanjida Chowdhury

• Family Nurse Practitioner in Merrick, NY
• Providers in Merrick, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.