MRS. JAISA JOSEPH PALLICKAL (NPI# 1003254657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003254657 |
| Entity Type | Individual |
| Full Name | MRS. JAISA JOSEPH PALLICKAL |
| Other Name | MRS. ANNAMMA ZACHARIAH |
| Credential | MSN ANP |
| Practice Address |
75 Broad St 0815 New York NY 10004-2415 |
| Mailing Address |
17 Best St Westwood NJ 07675-2701 |
| Practice Telephone | 7183910611 |
| Mailing Telephone | 2013580349 |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2013-06-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
305563 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
75 BROAD ST 0815 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10004-2415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366729782 | Silvia Raquel Ramos-park | Registered Nurse | 75 Broad St, 815, New York, NY 10004-2415 | 2011-11-14 |
| 1992253728 | Dolly Clay-strong | Nurse Practitioner | 75 Broad St, New York, NY 10004-2415 | 2016-09-21 |
| 1790168227 | Kelly Mccombie | Nurse Practitioner | 75 Broad St, New York, NY 10004-2415 | 2015-07-01 |
| 1073920674 | Robert Hoi-wan Ho | Nurse Practitioner | 75 Broad St, Suite 815, New York, NY 10004-2415 | 2014-07-15 |
| 1871922674 | Jennifer Spirio | Nurse Practitioner | 75 Broad St, Suite 0815, New York, NY 10004-2415 | 2013-11-02 |
| 1518307313 | Complex Care Solutions | Preferred Provider Organization | 75 Broad St, 815, New York, NY 10004-2415 | 2013-06-26 |
| 1972943892 | Huong Thi Thanh Nguyen | Nurse Practitioner | 75 Broad St, Suite 0815, New York, NY 10004-2415 | 2013-06-25 |
| 1376981977 | Dina Lemkova-seryy | Registered Nurse | 75 Broad St, New York, NY 10004-2415 | 2013-06-05 |
| 1790026714 | Cindy Etienne | Nurse Practitioner | 75 Broad St, New York, NY 10004-2415 | 2013-03-15 |
| 1619218948 | Agnes Christina Eytle-adams | Nurse Practitioner | 75 Broad St, Suite 0815, New York, NY 10004-2415 | 2013-03-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467920405 | Doris Virginia Acuna | Occupational Therapy Assistant | One Whitehall St., 9th Floor, New York, NY 10004 | 2018-11-07 |
| 1942799770 | Kylie M Becker | Speech-Language Pathologist | 7 Beaver St, New York, NY 10004 | 2018-05-07 |
| 1215458708 | Louisa Long-hei Chan | Registered Nurse | 125 Broad St # 3, New York, NY 10004 | 2017-07-05 |
| 1255861449 | Melyssa Astorga | Dentist | 11 Broadway Lbby 5, New York, NY 10004 | 2017-06-19 |
| 1912439381 | Lisa Hairston | Nurse Practitioner | 55 Broad St. 21st Floor, New York, NY 10004 | 2017-04-03 |
| 1487017042 | Dana Lynn Zwiebel | Dentist | 27 Whitehall St Fl 6, New York, NY 10004 | 2016-03-31 |
| 1942549233 | Thea Barbara Mccallion | Acupuncturist | 80 Broad Street, Suite 1401, New York, NY 10004 | 2013-02-06 |
| 1437448073 | Steven Lloyd Soignet | Internal Medicine | 55 Broad St., Suite 1840, New York, NY 10004 | 2011-04-05 |
| 1730478371 | James Bernard Dougherty Jr. | Internal Medicine | 55 Broad Street Suite 1840, Arcus Group, New York, NY 10004 | 2011-04-05 |
| 1114167871 | Alexis Pastera Penaflorida | Physical Medicine & Rehabilitation | 55 Broad Street, Suite #15f Downtown Spine Sports & Orthopedic Rehabili, New York, NY 10004 | 2009-02-20 |
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| Taxonomy Code | 364SA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609244037 | Thelma P Bryan | Clinical Nurse Specialist | 10 E 138th St Apt 7b, New York, NY 10037-2049 | 2015-09-02 |
| 1710154760 | John Bernard Fiddler | Clinical Nurse Specialist | 360 W 22nd St Apt 7p, New York, NY 10011-2630 | 2008-05-09 |
| 1194335901 | Oksana Nekoz | Clinical Nurse Specialist | 545 1st Ave, New York, NY 10016-6401 | 2020-08-06 |
| 1699217141 | Renee Wisniewski | Clinical Nurse Specialist | 300 E 66th St, Attn. Joe Narus, New York, NY 10065-6800 | 2016-11-15 |
| 1629529870 | Ellen Orgera | Clinical Nurse Specialist | 535 E 70th St, New York, NY 10021-4823 | 2016-10-21 |
| 1134572423 | Joseph Barbicas | Clinical Nurse Specialist | 75 Maiden Ln, Suite 1206, New York, NY 10038-4810 | 2016-07-21 |
| 1063878791 | Ariel F Silva | Clinical Nurse Specialist | 156 William St, New York, NY 10038-2609 | 2016-01-11 |
| 1437563285 | Helen Alexandroff | Clinical Nurse Specialist | 1 Gustave Levy Place, New York, NY 10029 | 2014-06-19 |
| 1932547015 | Elizabeth Ann Veneskey | Clinical Nurse Specialist | 330 E 38th St, Apt 57 D, New York, NY 10016-2759 | 2013-06-11 |
| 1255682712 | Marie Maye Joseph | Clinical Nurse Specialist | 1 Penn Plaza, 8th Floor, New York, NY 10119 | 2012-09-25 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.