Individual provider Active NPI

Jessica Mordi, NP

  • Obstetrics & Gynecology Nurse Practitioner
  • Rosedale, NY
National Provider Identifier
1780920009
Registry record updated Dec 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
F421255-1 Issued in NY
Practice address
25715 148TH Dr
Rosedale, NY 11422-3018
Phone
(347) 869-3595
NPI assigned
Dec 13, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 626663 NY
Obstetrics & Gynecology Nurse Practitioner 363LX0001X F421255-1 NY Primary

Addresses

Primary practice location

25715 148TH Dr
Rosedale, NY 11422-3018

Mailing address

25715 148TH Dr
Rosedale, NY 11422-3018
Phone (347) 869-3595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220831001719 NY Practitioner - Nurse Practitioner 2860876463 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Essen Medical Associates, PCGroup PAC ID 1759353501, 264 clinicians

Practice addresses (Care Compare)

2015 Grand Ave
FL 1
Bronx, NY 10453-4611
Phone (718) 583-7736

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
626663NYMDRegistered Nurse
F421255-1NYMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Essen Medical Associates,PC CurrentSince May 1, 2022 Accepting new patients
Essen Medical Associates, PC CurrentSince May 1, 2022 Accepting new patients
House Call Medical Services of New York, PLLC CurrentSince May 1, 2022 Accepting new patients
Essen Medical Associates, PC Current Accepting new patients
Essen Medical Urgicare, PLLC CurrentSince Jul 13, 2025 Accepting new patients
Bronx Medical Practice P.C. CurrentSince May 1, 2022 Accepting new patients
Shakespeare Operating LLC CurrentSince Jul 13, 2025 Accepting new patients
Sweet P Home Care Past Accepting new patients

Locations

1250 Shakespeare Ave
Bronx, NY 10452
Phone (646) 350-1633

1009 E 163rd St
Bronx, NY 10459
Phone (718) 542-4200

2445 Arthur Ave
Bronx, NY 10458
Phone (718) 220-3434

1434 Williamsbridge Rd
Bronx, NY 10461
Phone (646) 759-5453

2742 3rd Ave
Ste A
Bronx, NY 10455

3991 White Plains Rd
Ste C
Bronx, NY 10466
Phone (718) 925-3454

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

5235 Broadway
Ste C
Bronx, NY 10463
Phone (646) 350-1633

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

1550 Dr Martin L King Jr Blvd
Bronx, NY 10452
Phone (347) 269-2366

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

8989 Union Tpke
Glendale, NY 11385
Phone (718) 480-6207

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: jessica.mordi@ema.eclinicaldirectplus.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1355356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576713600000",
    "number": "1780920009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25715 148TH DR",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "114223018",
            "telephone_number": "347-869-3595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25715 148TH DR",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "114223018",
            "telephone_number": "347-869-3595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORDI",
        "first_name": "JESSICA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-13",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "626663",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "NY",
            "license": "F421255-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosedale, NY

Sources for this page

Verify at the official NPI Registry.