Active NPI
Jane Healy Chidekel, FNP
- Nurse Practitioner
- New York, NY
National Provider Identifier
1861572901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- F332582-1
- Practice address
- 150 Essex St
New York, NY 10002-2301 - Phone
- (212) 477-1120
- Fax
- (212) 477-8957
- NPI assigned
- Oct 16, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | F332582-1 | NY | Primary |
Addresses
Primary practice location
150 Essex St
New York, NY 10002-2301
Mailing address
50 Fort PL
Apt. A2D
Staten Island, NY 10301-2415
Phone (718) 816-7766
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00695941 | Medicaid | NY |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F332582-1 | NY | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300665600000",
"number": "1861572901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 FORT PL",
"address_2": "APT. A2D",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103012415",
"telephone_number": "718-816-7766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 ESSEX ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100022301",
"telephone_number": "212-477-1120",
"fax_number": "212-477-8957"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIDEKEL",
"first_name": "JANE",
"middle_name": "HEALY",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-16",
"last_updated": "2011-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "F332582-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00695941",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.