Individual provider Active NPI

Jennifer M Torres, MS ED

  • Specialist
  • Staten Island, NY
National Provider Identifier
1760724702
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
719858131 Issued in NY
Practice address
734 Sheldon Ave
Staten Island, NY 10312-2526
Phone
(347) 598-0433
Fax
(718) 605-1066
NPI assigned
Mar 16, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 719858131 NY Primary

Addresses

Primary practice location

734 Sheldon Ave
Staten Island, NY 10312-2526

Mailing address

20 Petersons LN
Staten Island, NY 10309-2805
Phone (347) 598-0433

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
Master of Science

State licenses

LicenseStateTypeSpecialty
719858131NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1363392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1760724702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PETERSONS LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103092805",
            "telephone_number": "347-598-0433",
            "fax_number": "718-605-1066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "734 SHELDON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103122526",
            "telephone_number": "347-598-0433",
            "fax_number": "718-605-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "credential": "MS ED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-16",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "719858131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; 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.