Jacqueline Kristen Mounayar

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

310275 Issued in NY

Practice address

525 E 68TH St
New York, NY 10065-4870

Phone

(646) 962-2150

Fax

(212) 746-6951

NPI assigned

Jul 6, 2021

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

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.

• Danbury Hospital

  • General Acute Care Hospital
  • New Milford, CT
  • NPI 1619938016
  NPD (past)
• Danbury Radiological Associates, PC

  • Diagnostic Radiology Physician
  • Danbury, CT
  • NPI 1639164106
  NPD (past)

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

{
    "created_epoch": "1625529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1891366332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 E 68TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100654870",
            "telephone_number": "646-962-2150",
            "fax_number": "212-746-6951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 E 68TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100654870",
            "telephone_number": "646-962-2150",
            "fax_number": "212-746-6951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUNAYAR",
        "first_name": "JACQUELINE",
        "middle_name": "KRISTEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-06",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "9790",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "310275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Monet Moulton-Levy, M.D.
• Arden Green Moulton, LMSW
• Jenna Marie Moulton, CPNP
• Joanna Jill Moulton, PNP, RN
• Melissa Moulton, NP
• Katherine Mound
• Lois R Mound, MD
• Gerard Mounic, OTR/L
• Marie Mounier, DNP
• Mount Sinai

• Adult Health Nurse Practitioner in New York, NY
• Providers in New York, 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 21, 2022; 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.