Jd Services Nurse Practitioner In Adult Health PLLC · Adult Health Nurse Practitioner

612 Corporate Way Ste 2m, Valley Cottage, NY 10989-2027

Overview

Jd Services Nurse Practitioner In Adult Health PLLC is a Adult Health Nurse Practitioner (organization) practicing in Valley Cottage, New York. The National Provider Identifier (NPI) is #1407736226, which was assigned on September 3, 2025, and the registration record was last updated on September 5, 2025. The practitioner's main practice location is at 612 Corporate Way Ste 2m, Valley Cottage, NY 10989-2027; the contact telephone number is 7183621411, and the fax number is 7183621651. The primary taxonomy of Jd Services Nurse Practitioner In Adult Health PLLC is Adult Health Nurse Practitioner (363LA2200X), with specialization in Adult Health. The authorized official for Jd Services Nurse Practitioner In Adult Health PLLC is Jennifer Davis (Owner).

Provider Information

NPI 1407736226
Entity Type Organization
Organization Name JD SERVICES NURSE PRACTITIONER IN ADULT HEALTH PLLC
Provider Name JD SERVICES NURSE PRACTITIONER IN ADULT HEALTH PLLC
Practice Address 612 Corporate Way Ste 2m
Valley Cottage
NY 10989-2027
Practice Telephone 7183621411
Practice Fax Number 7183621651
Mailing Address 612 Corporate Way Ste 2m
Valley Cottage
NY 10989-2027
Mailing Telephone 7183621411
Mailing Fax Number 7183621651
Certification Date 2025-09-05
Enumeration Date 2025-09-03
Last Update Date 2025-09-05
Is Organization Subpart N

Authorized Official Information

Official Name JENNIFER DAVIS
Official Title OWNER
Credential NP
Telephone 7183621411

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y363LA2200XNurse PractitionerAdult Health193400000X SINGLE SPECIALTY GROUP

Other Provider Names

Other Organization NameType
DE Medical ConsultantsDoing Business As Name

Taxonomy Information

Primary Taxonomy

Code 363LA2200X
Taxonomy Adult Health Nurse Practitioner
Classification Nurse Practitioner
Specialization Adult Health
Grouping Physician Assistants & Advanced Practice Nursing Providers
Definition: Definition to come...

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Np Care and Wellness LLC 4331 Sw 159th Path, Miami, FL 33185-5310Adult Health Nurse Practitioner2025-08-28
Tara Smith 435 South St Ste 210, Morristown, NJ 07960-6422Adult Health Nurse Practitioner2025-08-29
Victoria Jane Cully 330 Carnation Rd, West Islip, NY 11795-2802Adult Health Nurse Practitioner2025-09-02
Lamees Nemer Mahmoud 11164 Southwest Hwy, Palos Hills, IL 60465-2709Adult Health Nurse Practitioner2025-09-05
Raymond Malayev Np In Adult Health PC 7632 168th St, Fresh Meadows, NY 11366-1334Adult Health Nurse Practitioner2025-08-27
Katherine Charlene Mcnabb 11134 Oberun River Ct, Rancho Cordova, CA 95670-2915Adult Health Nurse Practitioner2025-08-28
Alexis Fordyce 200 Howells Rd, Bay Shore, NY 11706-5351Adult Health Nurse Practitioner2025-09-06
Jane Mercado Monteiro 8-35 Forest St, Fair Lawn, NJ 07410-1509Adult Health Nurse Practitioner2025-09-04
Harris Healthcare Services PLLC 17505 Telge Rd Ste 102, Cypress, TX 77429-7217Adult Health Nurse Practitioner2025-08-28
Ashley Danielle Hook · Ashley Danielle Smith 931 Oak Park Blvd Ste 101, Pismo Beach, CA 93449-3403Adult Health Nurse Practitioner2025-09-04
Find all providers with the same taxonomy

Location Information

Street Address 612 CORPORATE WAY STE 2M
City VALLEY COTTAGE
State NY
Zip Code 10989-2027
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Rosalyn Beswick 612 Corporate Way Ste 2m, Valley Cottage, NY 10989-2027Adult Health Nurse Practitioner2013-03-12
Elise Zbar Np In Family Health PLLC 612 Corporate Way Ste 2m, Valley Cottage, NY 10989-2027Family Medicine Physician2025-04-15

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
My Medical PC 612 Corporate Way Ste 2, Valley Cottage, NY 10989-2027Optometrist2021-09-17

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Peter Cummins 706 Executive Blvd Ste D, Valley Cottage, NY 10989-2039Peer Specialist2025-06-11
Kelly Unanue 140 Route 303, Valley Cottage, NY 10989-5906Social Worker2025-08-28
Denise Foster 476 Christian Herald Rd, Valley Cottage, NY 10989-2230Clinical Psychologist2012-07-30
Kailey Gleeson 15 Lake Ridge Plz, Valley Cottage, NY 10989-1925Physical Therapist2025-06-30
Linda Lulgjuraj-Zadrima 140 Route 303, Valley Cottage, NY 10989-5906Psychiatric/Mental Health Nurse Practitioner2025-03-17
Andrea J. Young 6 Park Ave, Valley Cottage, NY 10989-1812Child & Adolescent Psychiatric/Mental Health Registered Nurse2014-06-03
Jennifer Aleman 140 Route 303, Valley Cottage, NY 10989-5906Social Worker2024-11-05
Sherene Ayesha Ali-Marcano 5 Parma Dr, Valley Cottage, NY 10989-1800Occupational Therapy Assistant2025-07-30
Giovanni Templo 489 Mitchell Dr, Valley Cottage, NY 10989-2212Physical Therapist2017-09-08
Kattelyne M Oakley 869 Mulberry Rd, Valley Cottage, NY 10989-2325Interpreter2025-05-20
Find all providers in the same zip code

Similar Providers

Providers with similar names

Provider NameAddressTaxonomyEnumeration Date
Central Ny Nurse Practitioner In Family Health PLLC 31 Spencer St Fl 15, Brooklyn, NY 11205-5289Family Medicine Physician2025-08-01
Mm Nurse Practitioner In Family Health PLLC 7726 62nd St, Glendale, NY 11385-6810Community Health Nurse Practitioner2025-07-18
Sky Np Nurse Practitioner In Family Health PLLC 2 Caroll Dr, Suffern, NY 10901-3002Family Nurse Practitioner2025-01-06
Kimberly Rice Bickel Nurse Practitioner In Adult Health PLLC 99 Golden Hill Dr, Kingston, NY 12401-6442Adult Health Nurse Practitioner2025-07-30
Jotno Family Health Nurse Practitioner PLLC 273 Ridge Rd Ste 2, Buffalo, NY 14218-1222Nurse Practitioner2024-03-04
Telehealth Adult Health Nurse Practitioner 432 N Brookside Ave, Freeport, NY 11520-1045Primary Care Clinic/Center2025-01-29
Nurse Practitioner In Adult Health Wellness Services, PLLC 13620 38th Ave Ste 5a, Flushing, NY 11354-4264Health Service Clinic/Center2024-04-16
S.E. Adult Health Nurse Practitioner PLLC 24 Parkside Rd, West Hempstead, NY 11552-4222Adult Medicine Physician2024-03-07
Hope Care Nurse Practitioner In Adult Health PC 18719 Linden Blvd, Saint Albans, NY 11412-4025Adult Health Nurse Practitioner2023-03-16
Patient First Nurse Practitioner In Family Health PLLC 3141 Route 9w Ste 600, New Windsor, NY 12553-6710Primary Care Clinic/Center2025-04-02

Improve Information

Do you have more infomration about Jd Services Nurse Practitioner In Adult Health PLLC? Please fill in the following form.


Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.