Active NPI
Nadja Louis Jacques NP PC
- Family Medicine Physician
- Brooklyn, NY
National Provider Identifier
1902265192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- F336938
- Legal business name
- NADJA LOUIS JACQUES NP PC
- Practice address
- 1368 Nostrand Ave
Brooklyn, NY 11226-2503 - Phone
- (516) 782-6728
- NPI assigned
- Feb 16, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nadja Louis Jaques
- Title
- Staff Physician
- Phone
- (516) 782-6728
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | F336938 | NY | Primary |
Addresses
Primary practice location
1368 Nostrand Ave
Brooklyn, NY 11226-2503
Mailing address
319 Southwood Cir
Syosset, NY 11791-5715
Phone (516) 782-6728
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2002197 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
1368 Nostrand Ave
Brooklyn, NY 11226
Phone (718) 693-2338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455580800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1455580800000",
"number": "1902265192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "319 SOUTHWOOD CIR",
"city": "SYOSSET",
"state": "NY",
"postal_code": "117915715",
"telephone_number": "516-782-6728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1368 NOSTRAND AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112262503",
"telephone_number": "516-782-6728"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NADJA LOUIS JACQUES NP PC",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-16",
"last_updated": "2016-02-16",
"status": "A",
"authorized_official_last_name": "JAQUES",
"authorized_official_first_name": "NADJA",
"authorized_official_middle_name": "LOUIS",
"authorized_official_title_or_position": "STAFF PHYSICIAN",
"authorized_official_telephone_number": "516-782-6728"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "NY",
"license": "F336938",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2002197",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.