Individual provider Active NPI

Jannatul Ferdush

  • Health & Wellness Coach
  • Ozone Park, NY
National Provider Identifier
1831823392
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
Practice address
10730 88TH St
Ozone Park, NY 11417-1423
Phone
(347) 859-0880
NPI assigned
Jul 12, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X Primary

Addresses

Primary practice location

10730 88TH St
Ozone Park, NY 11417-1423

Mailing address

10730 88TH St
Ozone Park, NY 11417-1423
Phone (347) 859-0880

Other identifiers 1

IdentifierTypeStateIssuer
12345678MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.facebook.com/jannatulferdush

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1831823392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10730 88TH ST",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114171423",
            "telephone_number": "347-859-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10730 88TH ST",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114171423",
            "telephone_number": "347-859-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERDUSH",
        "first_name": "JANNATUL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-12",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12345678",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.facebook.com/jannatulferdush",
            "affiliation": "N",
            "address_1": "10730 88th St",
            "city": "Ozone Park",
            "state": "NY",
            "country_code": "US",
            "postal_code": "114171423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ozone Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.