JNK NP in Psychiatry PC

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

Legal business name

JNK NP IN PSYCHIATRY PC

Practice address

470 Route 211 E Ste 24
Middletown, NY 10940-2252

Phone

(347) 336-0582

NPI assigned

Sep 12, 2023

Organization subpart

No

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

Authorized official

Name

Kasamba Joseph

Title

Pmhnp-BC

Phone

(347) 336-0582

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph Kasamba, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Brooklyn, NY
  • NPI 1669803110
  Medicare reassignment NPD

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

{
    "created_epoch": "1694476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694476800000",
    "number": "1750168936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1155",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109498155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 ROUTE 211 E STE 24",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109402252",
            "telephone_number": "347-336-0582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JNK NP IN PSYCHIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-12",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "KASAMBA",
        "authorized_official_title_or_position": "PMHNP-BC",
        "authorized_official_telephone_number": "347-336-0582"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joon Ji
• Yahui Jia
• Hong Jiang, MD
• Adhara Jimenez, BS/AS
• Dylan Steven Jimenez
• Carly M. Jobson, PA-C
• Manju Joe, NP
• Jay Herman Joerger, EDD
• Robert Johaneman
• John P Handago Physician PC

• Psychiatric/Mental Health Registered Nurse in Middletown, NY
• Providers in Middletown, NY by specialty
• Psychiatric/Mental Health Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.