Active NPI
Jenna C Meyers, C.P.N.P.- P.C.
- Pediatric Nurse Practitioner
- Flushing, NY
National Provider Identifier
1841743085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 382723
- Practice address
- 5645 Main St
Flushing, NY 11355-5045 - Phone
- (718) 670-1947
- NPI assigned
- Jul 23, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 | 704259 | NY | |
| Pediatric Nurse Practitioner | 363LP0200X | 382723 | NY | Primary |
Addresses
Primary practice location
5645 Main St
Flushing, NY 11355-5045
Mailing address
5645 Main St
Flushing, NY 11355-5045
Phone (718) 670-1947
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
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 704259 | NY | MD | Registered Nurse |
| 382723 | NY | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ny Society for the Relief of Ruptured & Crippled Maintaining | Current | Accepting new patients | |
| Ny Society for the Relief of Ruptured & Crippled Maintaining | Current | Accepting new patients |
Locations
5645 Main St
Flushing, NY 11355
Phone (718) 670-1435
535 E 70th St
New York, NY 10021
Interoperability endpoints
- https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/DSTU2
- jcm7005@direct.nyp.org
- https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/R4/
Organizations & group practices 2
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.
-
- Orthopaedic Surgery Physician
- New York, NY
- NPI 1902243488
-
- Orthopaedic Surgery Physician
- Paramus, NJ
- NPI 1982004529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510876800000",
"number": "1841743085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5645 MAIN ST",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113555045",
"telephone_number": "718-670-1947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5645 MAIN ST",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113555045",
"telephone_number": "718-670-1947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYERS",
"first_name": "JENNA",
"middle_name": "C",
"credential": "C.P.N.P.- P.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-23",
"last_updated": "2017-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "704259",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NY",
"license": "382723",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flushing, NY
- Metropolitan Medical Care P.C.
- Metropolitan Nurse Practitioner in Family Health PLLC
- Metropolitan Otolaryngology & Facial Plastics PC
- Metropolitan Podiatry Group PLLC
- Metropolitan Radiological Imaging PC
- Carolina Meza Saenz
- Jessica Meza
- Nicole Mezzasalma
- MGH Physical Therapy PC
- MGS Medical Technology PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2017; 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.