Individual provider Active NPI

Jeniffer Vizoso, FNP

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1730787979
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
348681 Issued in NY
Practice address
3611 14TH Ave Ste 550
Brooklyn, NY 11218-3773
Phone
(718) 819-6144
Fax
(718) 819-6145
NPI assigned
Oct 10, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 348681 NY Primary
Family Nurse Practitioner 363LF0000X 11009590 FL

Addresses

Primary practice location

3611 14TH Ave Ste 550
Brooklyn, NY 11218-3773

Mailing address

10850 W Flagler St Apt D315
Miami, FL 33174-1464

Other practice location 1

15310 Amberly Dr # 66
Tampa Palms, FL 33647-2199
Phone (718) 819-6144

Other practice location 2

391 E 149th St Ste 403
Bronx, NY 10455-3907
Phone (718) 819-6144

Other practice location 3

10850 W Flagler St Apt D315
Miami, FL 33174-1464
Phone (718) 587-1771

Other identifiers 1

IdentifierTypeStateIssuer
08017970MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240801000322 NY Practitioner - Nurse Practitioner 3476090010 Reassigns benefits to 2 organizations
I20260529003276 FL Practitioner - Nurse Practitioner 3476090010 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
TVG Medical Group PLLCGroup PAC ID 2860962958, 2 clinicians
Gamss Health Urgent Medicine PCGroup PAC ID 4587199237, 10 clinicians

Practice addresses (Care Compare)

15310 Amberly Dr
Suite 66
Tampa Palms, FL 33647-2199
Phone (718) 819-6144

3611 14TH Ave
Suite 550
Brooklyn, NY 11218-3773
Phone (718) 819-6144

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11009590FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ny Family Practice Physicians, PC CurrentSince Jun 24, 2024 Accepting new patients
TVG Medical Group PLLC CurrentSince May 1, 2026 Accepting new patients
Gamss Health Urgent Medicine PC CurrentSince Mar 24, 2025 Accepting new patients
TVG Medical Group PLLC CurrentSince Jul 8, 2026 Accepting new patients
Ny Family Medical Docs PC Past Accepting new patients

Locations

10465 Melody Dr
Ste 123
Northglenn, CO 80234
Phone (718) 819-6144

15310 Amberly Dr
#66
Tampa Palms, FL 33647
Phone (718) 819-6144

391 E 149th St
Ste 403
Bronx, NY 10455
Phone (718) 819-6144

65 Church Ave
Brooklyn, NY 11218
Phone (718) 819-6144

3611 14th Ave
Ste 550
Brooklyn, NY 11218
Phone (718) 819-6144

1052 Liberty Ave
Brooklyn, NY 11208
Phone (718) 235-5600

8616 Jamaica Ave
Woodhaven, NY 11421
Phone (800) 992-6827

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1602288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1730787979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10850 W FLAGLER ST APT D315",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331741464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 14TH AVE STE 550",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112183773",
            "telephone_number": "718-819-6144",
            "fax_number": "718-819-6145"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15310 Amberly Dr # 66",
            "address_purpose": "LOCATION",
            "city": "Tampa Palms",
            "state": "FL",
            "postal_code": "336472199",
            "country_code": "US",
            "telephone_number": "718-819-6144",
            "fax_number": "718-819-6145",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "391 E 149th St Ste 403",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104553907",
            "country_code": "US",
            "telephone_number": "718-819-6144",
            "fax_number": "718-819-6145",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10850 W Flagler St Apt D315",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331741464",
            "country_code": "US",
            "telephone_number": "718-587-1771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIZOSO",
        "first_name": "JENIFFER",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-10",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "348681",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11009590",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08017970",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.