Active NPI
Janice Mordi, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 402350
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 636528 | NY | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sun River Health Inc | Current | Accepting new patients | |
| Sun River Health Inc. | Current | Accepting new patients | |
| Premier Healthcare, Inc. | Current | Accepting new patients | |
| Chukwuka S Mordi, NP Psychiatry PC | Psychiatric/Mental Health | Current | Accepting new patients |
| Premier Healthcare, Inc. | Current | Accepting new patients | |
| Catholic Charities Neighborhood Services, Inc. | Current | 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
- 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Brooklyn, NY
- NPI 1548373921
-
- Psychiatric/Mental Health Nurse Practitioner
- Rosedale, NY
- NPI 1720602691
-
- Developmental Disabilities Clinic/Center
- New York, NY
- NPI 1760436190
-
- Developmental Disabilities Clinic/Center
- New York, NY
- NPI 1831330182
-
- Federally Qualified Health Center (FQHC)
- Amenia, NY
- NPI 1568526838
-
- Federally Qualified Health Center (FQHC)
- Peekskill, NY
- NPI 1619969458
-
- Clinical Social Worker
- Glendale, NY
- NPI 1881910131
-
- Psychiatry Physician
- Brooklyn, NY
- NPI 1497218762
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
- Mordechai Meisels Licensed Behavior Analyst PC (Behavior Plan Licensed Behavior Analyst)
- Isabella Mordechaieb
- Rachel Mordechay, MSED
- Golchekhra Mordehachayev
- Mordehai Ahdut DDS PC
- Liza Mordkovich
- Breanne Mordorski, MD
- Erik P Mordukhayev, N.P.
- More Than Words Speech Pathology, PLLC
- Vineet A More, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.