Individual provider Active NPI

Jennifer Mondesir

  • Registered Nurse
  • Flushing, NY
National Provider Identifier
1881005361
Registry record updated May 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
638223 Issued in NY
Practice address
4125 163Rd St
Flushing, NY 11358-2657
Phone
(718) 571-8010
NPI assigned
May 19, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 638223 NY Primary

Addresses

Primary practice location

4125 163Rd St
Flushing, NY 11358-2657

Mailing address

4125 163Rd St
Flushing, NY 11358-2657
Phone (718) 571-8010

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
638223NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Mediscan Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1400457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400457600000",
    "number": "1881005361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4125 163RD ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113582657",
            "telephone_number": "718-571-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4125 163RD ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113582657",
            "telephone_number": "718-571-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONDESIR",
        "first_name": "JENNIFER",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-19",
        "last_updated": "2014-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "638223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2014; 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.