Active NPI
Joseph Joseph Dejesus, RN
- Chore Provider
- Valparaiso, IN
National Provider Identifier
1740628031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chore Provider
- License
- 041329061
- Practice address
- 1402 Boca Lago Dr
Valparaiso, IN 46383-4420 - Phone
- (219) 669-8964
- NPI assigned
- Jun 7, 2013
- Last updated
- Jun 7, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chore Provider | 372500000X | 041329061 | IL | Primary |
Addresses
Primary practice location
1402 Boca Lago Dr
Valparaiso, IN 46383-4420
Mailing address
1402 Boca Lago Dr
Valparaiso, IN 46383-4420
Phone (219) 669-8964
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
| License | State | Type | Specialty |
|---|---|---|---|
| 041329061 | IL | MD | Chore Provider |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370563200000",
"number": "1740628031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1402 BOCA LAGO DR",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "463834420",
"telephone_number": "219-669-8964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1402 BOCA LAGO DR",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "463834420",
"telephone_number": "219-669-8964"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEJESUS",
"first_name": "JOSEPH",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-07",
"last_updated": "2013-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "372500000X",
"taxonomy_group": "",
"desc": "Chore Provider",
"state": "IL",
"license": "041329061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Valparaiso, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.