Individual provider Active NPI

Adisa Zejnilovic, RN

  • Registered Nurse
  • Jackson Heights, NY
National Provider Identifier
1730073321
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
612711 Issued in NY
Practice address
8809 Northern Blvd Apt 303
Jackson Heights, NY 11372-1633
Phone
(347) 832-6995
NPI assigned
Jun 6, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 612711 NY Primary

Addresses

Primary practice location

8809 Northern Blvd Apt 303
Jackson Heights, NY 11372-1633

Mailing address

8809 Northern Blvd Apt 303
Jackson Heights, NY 11372-1633
Phone (347) 832-6995

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
612711NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1749168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1730073321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8809 NORTHERN BLVD APT 303",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113721633",
            "telephone_number": "347-832-6995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8809 NORTHERN BLVD APT 303",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113721633",
            "telephone_number": "347-832-6995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEJNILOVIC",
        "first_name": "ADISA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-06",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "612711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2025; 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.