Active NPI
Fadjana Pierre, R.N.
- Registered Nurse
- Rego Park, NY
National Provider Identifier
1932511029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 666556
- Practice address
- 95-25 Queens Blvd
Rego Park, NY 11374 - Phone
- (347) 987-8001
- NPI assigned
- May 23, 2014
- Reactivated
- Dec 15, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 666556 | NY | Primary |
Addresses
Primary practice location
95-25 Queens Blvd
Rego Park, NY 11374
Mailing address
95-28 Queens Blvd
Rego Park, NY 11374
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 666556 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513296000000",
"number": "1932511029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95-28 QUEENS BLVD",
"city": "REGO PARK",
"state": "NY",
"postal_code": "11374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95-25 QUEENS BLVD",
"city": "REGO PARK",
"state": "NY",
"postal_code": "11374",
"telephone_number": "347-987-8001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIERRE",
"first_name": "FADJANA",
"credential": "R.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-23",
"last_updated": "2017-12-15",
"deactivation_date": "2017-03-29",
"reactivation_date": "2017-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "666556",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rego Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.