Individual provider Active NPI

Jenna Attiyeh, MS, RN, APRN, BC

  • Acute Care Nurse Practitioner
  • New York, NY
National Provider Identifier
1801137351
Registry record updated Apr 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
F430888-1 Issued in NY
Practice address
1 Gustave L Levy PL
Box 1023
New York, NY 10029-6504
Phone
(212) 241-4325
NPI assigned
Mar 8, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2017

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 619019-1 NY
Acute Care Nurse Practitioner 363LA2100X F430888-1 NY Primary

Addresses

Primary practice location

1 Gustave L Levy PL
Box 1023
New York, NY 10029-6504

Mailing address

1 Gustave L Levy PL
Box 1023
New York, NY 10029-6504
Phone (212) 241-4325

Other names 1

  • Jenna Nikola Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20260127003812 CA Practitioner - Nurse Practitioner 0941788483 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Orange Orthopedic Medica GP Inc the Providence BLDGGroup PAC ID 2961441852, 10 clinicians
Ehsan Saadat MD IncGroup PAC ID 4284064452, 2 clinicians

Practice addresses (Care Compare)

1310 W Stewart Dr
Suite 410
Orange, CA 92868-3855
Phone 7145388549103

444 S San Vicente Blvd
Suite 901
Los Angeles, CA 90048-4174
Phone (310) 961-9820

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
619019-1NYMDRegistered Nurse
F430888-1NYMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ehsan Saadat MD Inc CurrentSince Dec 15, 2025 Accepting new patients
Icahn School of Medicine at Mount Sinai Past Accepting new patients

Locations

1225 W 190th St
Ste 400
Gardena, CA 90248

444 S San Vicente Blvd
Ste 901
Los Angeles, CA 90048
Phone (310) 248-7322

Interoperability endpoints

  • Direct secure messaging: jattiyeh447837@direct.cshs.org

Organizations & group practices 3

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1362700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493337600000",
    "number": "1801137351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GUSTAVE L LEVY PL",
            "address_2": "BOX 1023",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296504",
            "telephone_number": "212-241-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GUSTAVE L LEVY PL",
            "address_2": "BOX 1023",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296504",
            "telephone_number": "212-241-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATTIYEH",
        "first_name": "JENNA",
        "credential": "MS, RN, APRN, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-08",
        "last_updated": "2017-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "619019-1",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NY",
            "license": "F430888-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "NIKOLA",
            "credential": "MS, RN, APRN, BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.