Jane Renelle Bisa-Cister, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

307758 Issued in NY

Practice address

2241 New Haven Ave
Far Rockaway, NY 11691-2538

Phone

(718) 471-3400

NPI assigned

Jun 28, 2016

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Parkway Preventive Medical Care PLLCGroup PAC ID 8820536428, 3 clinicians

Joseph P. Addabbo Family Health Center, Inc.Group PAC ID 0749174654, 30 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St John's Episcopal Hospital at South Shore Hospital, Far Rockaway, NY, CCN 330395

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Parkway Preventive Medical Care PLLC

  • Multi-Specialty Clinic/Center
  • Far Rockaway, NY
  • NPI 1578318143
  Medicare reassignment Care Compare group NPD
• Joseph P. Addabbo Family Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Arverne, NY
  • NPI 1497700736
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1467072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548806400000",
    "number": "1861843161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2241 NEW HAVEN AVE",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116912538",
            "telephone_number": "718-471-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2241 NEW HAVEN AVE",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116912538",
            "telephone_number": "718-471-3400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 Beach 113th St",
            "address_purpose": "LOCATION",
            "city": "Rockaway Park",
            "state": "NY",
            "postal_code": "116942403",
            "country_code": "US",
            "telephone_number": "718-945-6350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BISA-CISTER",
        "first_name": "JANE RENELLE",
        "name_prefix": "Miss",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-28",
        "last_updated": "2019-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "307758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reddy Bezwada
• Sebanti Bhowmik, R.PH., MD
• Daniella Anne Bigajer-Weiss, LMHC
• Miriam Bindler, RN,BSN
• Tea Sara Birnbaum
• Shadonna Adofi Blake, LPN
• Jessica Blank
• Steven Blick, R.PH.
• Jill Yael Blisko, CCC-SLP
• Lisa Beth Blitz-Dunn, MS

• Adult Health Nurse Practitioner in Far Rockaway, NY
• Providers in Far Rockaway, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.