Organization Active NPI

Nadja Louis Jacques NP PC

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1902265192
Registry record updated Feb 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
F336938 Issued in NY
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

Updated by the provider on Feb 16, 2016

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
2002197MedicaidNY

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.