Alisa Jaganjac, CNS

Primary specialty

Clinical Nurse SpecialistTaxonomy code 364S00000X

License

1135987DUP Issued in NY

Practice address

1275 York Ave
New York, NY 10065-6007

Phone

(212) 639-3391

NPI assigned

Jul 1, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Specialist

State licenses

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

{
    "created_epoch": "1656633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656633600000",
    "number": "1831822444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3364 21ST ST APT 15A",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111064262",
            "telephone_number": "917-912-4807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 YORK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656007",
            "telephone_number": "212-639-3391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAGANJAC",
        "first_name": "ALISA",
        "credential": "CNS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-01",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "NY",
            "license": "1135987DUP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jaganjaa@mskcc.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3364 21st St Apt 15A",
            "city": "Long Island City",
            "state": "NY",
            "country_code": "US",
            "postal_code": "111064262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jag Medical PLLC
• Jag Physical Therapy Ny LLC
• Jae'Lee Emily Jagan
• Sanjay C Jagani, D.D.S.
• Shruti Jagani, PT, DPT
• Sundar Jagannath, M.D.
• Geetha Jagannathan, MBBS
• Radhika Jagannathan
• Cristian Jager, DDS
• Clarice Jaget, CRNA

• Clinical Nurse Specialist in New York, NY
• Providers in New York, NY by specialty
• Clinical Nurse Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; 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.