Individual provider Active NPI

Jessica G Ploof

  • School Registered Nurse
  • Rushville, NY
National Provider Identifier
1750840435
Registry record updated Mar 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
547342 Issued in NY
Practice address
4120 Baldwin Rd
Rushville, NY 14544-9738
Phone
(585) 755-2639
NPI assigned
Mar 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 547342 NY Primary

Addresses

Primary practice location

4120 Baldwin Rd
Rushville, NY 14544-9738

Mailing address

131 Drumlin CT
Newark, NY 14513-1863
Phone (585) 755-2639

Other practice location 1

4440 Ridge Rd
Williamson, NY 14589-9382
Phone (585) 755-2639

Other practice location 2

3501 County Road 20
Stanley, NY 14561-9522
Phone (585) 755-2639

Other practice location 3

316 W Miller St
Newark, NY 14513-1446
Phone (585) 755-2639

Other practice location 4

701 Peirson Ave
Newark, NY 14513-2024
Phone (585) 755-2639

Other practice location 5

439 W Maple Ave
Newark, NY 14513-2062
Phone (585) 755-2639

Other practice location 6

625 Peirson Ave
Newark, NY 14513-2022
Phone (585) 755-2639

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

State licenses

LicenseStateTypeSpecialty
547342NYMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1552435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552435200000",
    "number": "1750840435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 DRUMLIN CT",
            "city": "NEWARK",
            "state": "NY",
            "postal_code": "145131863",
            "telephone_number": "585-755-2639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4120 BALDWIN RD",
            "city": "RUSHVILLE",
            "state": "NY",
            "postal_code": "145449738",
            "telephone_number": "585-755-2639"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4440 Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Williamson",
            "state": "NY",
            "postal_code": "145899382",
            "country_code": "US",
            "telephone_number": "585-755-2639",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3501 County Road 20",
            "address_purpose": "LOCATION",
            "city": "Stanley",
            "state": "NY",
            "postal_code": "145619522",
            "country_code": "US",
            "telephone_number": "585-755-2639",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "316 W Miller St",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NY",
            "postal_code": "145131446",
            "country_code": "US",
            "telephone_number": "585-755-2639",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 Peirson Ave",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NY",
            "postal_code": "145132024",
            "country_code": "US",
            "telephone_number": "585-755-2639",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "439 W Maple Ave",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NY",
            "postal_code": "145132062",
            "country_code": "US",
            "telephone_number": "585-755-2639",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "625 Peirson Ave",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NY",
            "postal_code": "145132022",
            "country_code": "US",
            "telephone_number": "585-755-2639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PLOOF",
        "first_name": "JESSICA",
        "middle_name": "G",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-13",
        "last_updated": "2019-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "547342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rushville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2019; 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.