Juliette Rose Condren

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

031414 Issued in NY

Practice address

988 5TH Ave
New York, NY 10075-0187

Phone

(212) 988-2400

NPI assigned

Dec 20, 2023

Sex

Female

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)

Not enrolled

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

{
    "created_epoch": "1703030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1740059633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 S 1ST ST APT 2B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112494168",
            "telephone_number": "561-859-9775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "988 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750187",
            "telephone_number": "212-988-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONDREN",
        "first_name": "JULIETTE",
        "middle_name": "ROSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-20",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "031414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Condon I, MEDICAL STUDENT
• Robert Condon, CASAC
• Rany Condos, M.D.
• Spyridon J. Condos, DDS
• Stephanie Condra, MPS, ATR-BC, LCAT
• Meghan Devine Condron, MPT
• Mercedes Condy, ANP
• Terencia S. Conejero, DDS
• Melissa A Conelli, DPT
• Vanessa A Conenna, O.D.

• Medical Physician Assistant in New York, NY
• Providers in New York, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; 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.