Individual provider Active NPI

Janice Mordi, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1831499854
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
402350 Issued in NY
Practice address
191 Joralemon St
Brooklyn, NY 11201-4306
Phone
(718) 722-6190
Fax
(718) 722-6189
NPI assigned
Oct 25, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 636528 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 402350 NY Primary

Addresses

Primary practice location

191 Joralemon St
Brooklyn, NY 11201-4306

Mailing address

191 Joralemon St
Brooklyn, NY 11201-4306
Phone (718) 722-6001

Other practice location 1

32 N Montague St
Valley Stream, NY 11580-3708
Phone (516) 792-1365

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
636528NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Sun River Health Inc Current Accepting new patients
Sun River Health Inc. CurrentSince Mar 6, 2019 Accepting new patients
Premier Healthcare, Inc. CurrentSince Jul 1, 2020 Accepting new patients
Chukwuka S Mordi, NP Psychiatry PC Psychiatric/Mental Health CurrentSince Aug 1, 2020 Accepting new patients
Premier Healthcare, Inc. CurrentSince Jul 1, 2020 Accepting new patients
Catholic Charities Neighborhood Services, Inc. CurrentSince May 23, 2018 Accepting new patients
Rudoy Medical PC Past Accepting new patients
Catholic Charities Neigborhood Services Past Accepting new patients

Locations

3360 Route 343
Amenia, NY 12501
Phone (845) 373-9006

21111 Northern Blvd
Bayside, NY 11361
Phone (212) 563-7474

2400 Linden Blvd
Brooklyn, NY 11208
Phone (718) 257-5800

175 Remsen St
Brooklyn, NY 11201
Phone (718) 303-1300

803 Sterling Pl
Brooklyn, NY 11216
Phone (718) 613-1700

191 Joralemon St
Fl 11
Brooklyn, NY 11201

1623 Flatbush Ave
Brooklyn, NY 11210
Phone (718) 377-5755

191 Joralemon St
Brooklyn, NY 11201
Phone (718) 722-6000

1847 Mott Ave
Far Rockaway, NY 11691
Phone (718) 337-6800

6729 Myrtle Ave
Glendale, NY 11385
Phone (718) 456-7001

460 W 34th St
Fl 9
New York, NY 10001
Phone (212) 273-6515

Interoperability endpoints

  • Direct secure messaging: janice.mordi.p1@direct.premierhealthcare.nextgenshare.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1287964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1831499854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 JORALEMON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014306",
            "telephone_number": "718-722-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 JORALEMON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014306",
            "telephone_number": "718-722-6190",
            "fax_number": "718-722-6189"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "32 N Montague St",
            "address_purpose": "LOCATION",
            "city": "Valley Stream",
            "state": "NY",
            "postal_code": "115803708",
            "country_code": "US",
            "telephone_number": "516-792-1365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORDI",
        "first_name": "JANICE",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-25",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "636528",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "402350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.