Active NPI
Nadja Louisjacques, NP
- Family Nurse Practitioner
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 336938
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02679972 | Medicaid | NY |
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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 538078 | NY | MD | Registered Nurse |
| 336938 | NY | MD | Pediatric Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kingsbrook Medical Associates PC | Current | Accepting new patients | |
| Kingsbrook Medical Associates, PC | Current | Accepting new patients | |
| Circle Medical Care of New York PC | Current | Accepting new patients | |
| Eddy J. Vincent Physician,P.C. | Past | Accepting new patients | |
| Dr. Finkelshteyn Medical, P.C. | Past | Accepting new patients | |
| Tri-State Foot Care, P.C | Past | Accepting new patients | |
| North Fork House Calls, LLC | Past | Accepting new patients | |
| Expert Mobile Health | Past | 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.
-
- Nurse Practitioner
- Brooklyn, NY
- NPI 1588102727
-
- Family Medicine Physician
- New York, NY
- NPI 1780425447
-
- Multi-Specialty Clinic/Center
- Brooklyn, NY
- NPI 1104112838
-
- Emergency Medicine Physician
- Brooklyn, NY
- NPI 1770844797
-
- Physical Medicine & Rehabilitation Physician
- Brooklyn, NY
- NPI 1982865036
-
- Specialist
- Brooklyn, NY
- NPI 1366989790
-
- Emergency Medicine Physician
- Floral Park, NY
- NPI 1770284226
-
- General Practice Physician
- Greenport, NY
- NPI 1326404377
-
- Podiatrist
- Brooklyn, NY
- NPI 1972762458
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; 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.