Active NPI
Marie Fritza Jacques
- Family Nurse Practitioner
- Long Island City, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F348937-01
- Practice address
- 2101 41St Ave
Long Island City, NY 11101-4801 - Phone
- (718) 784-2240
- NPI assigned
- Jul 27, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11012574 | FL | |
| Family Nurse Practitioner | 363LF0000X | F348937-01 | NY | Primary |
Addresses
Primary practice location
2101 41St Ave
Long Island City, NY 11101-4801
Mailing address
262 Fulton St
West Babylon, NY 11704-2129
Phone (929) 250-6691
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1029 41St Ave
Long Island City, NY 11101-7346
Phone (718) 361-6266
2101 41St Ave
Long Island City, NY 11101-4801
Phone 7187842240144
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11012574 | FL | MD | Family Nurse Practitioner |
| F348937-01 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Floating Hospital Inc. | Current | Accepting new patients | |
| The Floating Hospital Inc. | Current | Accepting new patients |
Locations
2101 41st Ave
Long Island City, NY 11101
Phone (718) 691-6307
1029 41st Ave
Long Island City, NY 11101
Phone (718) 361-6266
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Interoperability endpoints
- marie.fritza.jacques.1@22829.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Long Island City, NY
- NPI 1306954631
-
- Federally Qualified Health Center (FQHC)
- Brooklyn, NY
- NPI 1275946550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743120000000",
"number": "1962175992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "262 FULTON ST",
"city": "WEST BABYLON",
"state": "NY",
"postal_code": "117042129",
"telephone_number": "929-250-6691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 41ST AVE",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111014801",
"telephone_number": "718-784-2240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACQUES",
"first_name": "MARIE FRITZA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-27",
"last_updated": "2025-03-28",
"certification_date": "2025-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11012574",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F348937-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Island City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.