Individual provider Active NPI

Joan B. Jablow, MS, APRN, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Mount Kisco, NY
National Provider Identifier
1992821169
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
400381 Issued in NY
Practice address
45 Byram Lake Rd
Mount Kisco, NY 10549-3419
Phone
(914) 244-1084
Fax
(914) 241-1246
NPI assigned
Mar 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 400381 NY Primary

Addresses

Primary practice location

45 Byram Lake Rd
Mount Kisco, NY 10549-3419

Mailing address

45 Byram Lake Rd
Mount Kisco, NY 10549-3419
Phone (914) 244-1084

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 27, 2021 through Jan 27, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: jjablow@direct.nyp.org

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992821169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 BYRAM LAKE RD",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493419",
            "telephone_number": "914-244-1084",
            "fax_number": "914-241-1246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 BYRAM LAKE RD",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493419",
            "telephone_number": "914-244-1084",
            "fax_number": "914-241-1246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JABLOW",
        "first_name": "JOAN",
        "middle_name": "B.",
        "name_prefix": "Ms.",
        "credential": "MS, APRN, NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "400381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Kisco, NY

Sources for this page

Verify at the official NPI Registry.