Individual provider Active NPI

Maria Jasanya, CNM, RNC, CLC

  • Registered Nurse
  • Brooklyn, NY
National Provider Identifier
1902303274
Registry record updated Apr 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
593360 Issued in NY
Practice address
175 Spencer St Apt 4a
Brooklyn, NY 11205-4774
Phone
(347) 210-3365
NPI assigned
Apr 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal Newborn Registered Nurse 163WM0102X 104382733 NY
Midwife 176B00000X 001660 NY
Registered Nurse 163W00000X 593360 NY Primary

Addresses

Primary practice location

175 Spencer St Apt 4a
Brooklyn, NY 11205-4774

Mailing address

175 Spencer St Apt 4a
Brooklyn, NY 11205-4774
Phone (347) 210-3365

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
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
593360NYMDRegistered Nurse
104382733NYMDMaternal Newborn Registered Nurse
001660NYMDMidwife

NPI Registry JSON

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

{
    "created_epoch": "1523491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523491200000",
    "number": "1902303274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 SPENCER ST APT 4A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112054774",
            "telephone_number": "347-210-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 SPENCER ST APT 4A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112054774",
            "telephone_number": "347-210-3365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASANYA",
        "first_name": "MARIA",
        "name_prefix": "Ms.",
        "credential": "CNM, RNC, CLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-12",
        "last_updated": "2018-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0102X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": "NY",
            "license": "104382733",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NY",
            "license": "001660",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "593360",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 12, 2018; 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.