Keiko Kai Des Jardins, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

336666 Issued in NY

Practice address

161 Madison Ave RM 9SW
New York, NY 10016-5443

Phone

(917) 755-3578

Fax

(212) 725-3020

NPI assigned

Feb 17, 2011

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Accord Medical Associates, LLP

  • Internal Medicine Physician
  • New York, NY
  • NPI 1952706467
  NPD (past)

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

{
    "created_epoch": "1297900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305158400000",
    "number": "1851698443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 MADISON AVE RM 9SW",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165443",
            "telephone_number": "917-755-3578",
            "fax_number": "212-725-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 MADISON AVE RM 9SW",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165443",
            "telephone_number": "917-755-3578",
            "fax_number": "212-725-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DES JARDINS",
        "first_name": "KEIKO",
        "middle_name": "KAI",
        "name_prefix": "Dr.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-17",
        "last_updated": "2011-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "336666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katia Derthick, CNM
• Taylor Jade Derubeis, PA
• Heidi Sue Deruiter, LP
• Lauren Dervich, OTR/L
• Mustafa Seckin Dervish, M.D.
• Alisha Desai, DMD
• Amit Bipin Desai, M.D.
• Anand Desai, M.D.
• Ankit Desai
• Apexa Desai, RPA-C

• Family Nurse Practitioner in New York, NY
• Providers in New York, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2011; 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.