JESSICA BERARDUCCI


Address: 200 W 57th St, Suite 200, New York, NY 10019-3211
Phone: 2123997040

JESSICA BERARDUCCI (NPI# 1255886198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255886198
Entity Type Individual
Full Name JESSICA BERARDUCCI
Practice Address 200 W 57th St
Suite 200
New York
NY 10019-3211
Mailing Address 314 W 94th St
Apt 5e
New York
NY 10025-6867
Practice Telephone 2123997040
Enumeration Date 2016-08-21
Last Update Date 2016-08-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
F307771-1 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 200 W 57TH ST
SUITE 200
City NEW YORK
State NY
Zip Code 10019-3211

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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

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Competitor

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City NEW YORK
Zip Code 10019

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Dataset Information

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.

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