Individual provider Active NPI

Nadja Louisjacques, NP

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1982852497
Registry record updated Sep 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
336938 Issued in NY
Practice address
1210 Nostrand Avenue
Brooklyn, NY 11225
Phone
(718) 778-0937
Fax
(718) 778-0933
NPI assigned
Sep 9, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 538078 NY
Family Nurse Practitioner 363LF0000X 336938 NY Primary

Addresses

Primary practice location

1210 Nostrand Avenue
Brooklyn, NY 11225

Mailing address

319 Southwood Circle
Syosset, NY 11791
Phone (718) 778-0937

Other identifiers 1

IdentifierTypeStateIssuer
02679972MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131017000546 NY Practitioner - Nurse Practitioner 1254587223 Reassigns benefits to 3 organizations
Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of New York Downstate Medical Center, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1210 Nostrand Ave
Brooklyn, NY 11225-3845
Phone (718) 778-0937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
538078NYMDRegistered Nurse
336938NYMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kingsbrook Medical Associates PC CurrentSince Jun 26, 2013 Accepting new patients
Kingsbrook Medical Associates, PC CurrentSince Jun 26, 2013 Accepting new patients
Circle Medical Care of New York PC CurrentSince Dec 10, 2025 Accepting new patients
Eddy J. Vincent Physician,P.C. Past Accepting new patients
Dr. Finkelshteyn Medical, P.C. PastSince Oct 21, 2015 Accepting new patients
Tri-State Foot Care, P.C Past Accepting new patients
North Fork House Calls, LLC PastSince Jul 22, 2019 Accepting new patients
Expert Mobile Health PastSince Mar 19, 2023 Accepting new patients

Locations

333 1st St
Ste A
San Francisco, CA 94105
Phone (312) 724-7441

585 Schenectady Ave
Brooklyn, NY 11203
Phone (718) 604-0461

1110 Eastern Pkwy
Brooklyn, NY 11213
Phone (718) 735-1900

1110 Eastern Pkwy
Pier Toussaint
Brooklyn, NY 11213
Phone (718) 735-1900

156 William St
Rm 303
New York, NY 10038
Phone (718) 866-4435

Networks

  • Healthfirst Medicare Network H3359

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1982852497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 SOUTHWOOD CIRCLE",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "11791",
            "telephone_number": "718-778-0937",
            "fax_number": "718-778-0933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 NOSTRAND AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11225",
            "telephone_number": "718-778-0937",
            "fax_number": "718-778-0933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUISJACQUES",
        "first_name": "NADJA",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-09",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "538078",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "336938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02679972",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.