Jamilah Da Costa

Primary specialty

Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X

License

859983 Issued in NY

Practice address

14410 Jamaica Ave
Jamaica, NY 11435-3624

Phone

(718) 206-1990

NPI assigned

Jan 3, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1735862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1871302901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9711 HORACE HARDING EXPY APT 3J",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113684704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14410 JAMAICA AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114353624",
            "telephone_number": "718-206-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DA COSTA",
        "first_name": "JAMILAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-03",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "NY",
            "license": "859983",
            "primary": false
        },
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "859983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• D.E.T. Medical P.C.
• Salvatore D'Alessandro, M.A., CCC-SLP
• Gaitri D'Amico, PA
• Margaret A D'Andrea, PA
• Gianna Elise D'Angelo, MS
• Da Sunshine
• Talley Dabakarov, AU.D. CCC-A
• Amy Dabo
• Ivonne Dabovich, C.M.
• Susan Nadine Dacres- Clarke, FNP

• Addiction (Substance Use Disorder) Registered Nurse in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Addiction (Substance Use Disorder) Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; 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.