DR. JAMESETTA A NEWLAND PHD, APRN, NPI 1154312072 — NEW YORK (NY)

NPI 1154312072

14+ Years Experience Individual

DR. JAMESETTA A NEWLAND PHD, APRN

10/31/2005
PROVIDER ENUMERATION DATE
01/22/2016
LAST UPDATE DATE
1154312072
NPI NUMBER

About DR. JAMESETTA A NEWLAND

Sole proprietor? No, Entity Type 1 Provider (Individual) is not a Sole Proprietor.

DR. JAMESETTA A NEWLAND is a provider established in NEW YORK, NY. The NPI number of DR. JAMESETTA A NEWLAND is 1154312072 and was assigned on 10/31/2005. The practitioners primary taxonomy code is: 363LF0000X with license number: F330329-1 NY .

Mailing address

  • City: WHITE PLAINS
  • State: NY
  • Postal code: 106033029
  • Address: 31 DUNDERAVE RD

Primary Practice Address

  • Region : NEW YORK, NY
  • NPI : 1154312072
  • Phone : 2123461600
  • Fax : 2123461308
  • Postalcode : 100381508
  • Address : 41 PARK ROW 3RD FLOOR

Additional identifiers

  • Identifier: 1C7106
  • Code / Type : 1 - other
  • Identifier state :
  • Identifier issuer: HEALTH NET CERTIFICATION

Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Additional identifiers # 2

  • Identifier: 1403314
  • Code / Type : 5 - MEDICAID
  • Identifier state : NY

Provider taxonomy - Nurse Practitioner

  • Taxonomy code: 363LF0000X
  • License number: F330329-1
  • License state: NY

The taxonomy is the primary taxonomy (there can be only one per NPI record).

Contacts:

Click to Show Map
  • DR. JAMESETTA A NEWLAND PHD, APRN
  • Address : 41 PARK ROW 3RD FLOOR
  • Region : NEW YORK, NY
  • NPI : 1154312072
  • Phone : 2123461600
  • Fax : 2123461308
  • Postalcode : 100381508

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field Name Value
Provider First Line Business Practice Location Address41 PARK ROW
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Second Line Business Practice Location Address3RD FLOOR
The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameNEW YORK
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameNY
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code100381508
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number2123461600
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number2123461308
The fax number associated with the location address of the provider being identified.
NPI1154312072
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 1363LF0000X
Provider Enumeration Date10/31/2005
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated01/22/2016
The date that a record was last updated or changed.
Entity TypeIndividual
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Organization Name (Legal Business Name)DR. JAMESETTA A NEWLAND
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Line Business Mailing Address31 DUNDERAVE RD
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Business Mailing Address City NameWHITE PLAINS
The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name".
Provider Business Mailing Address State NameNY
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code106033029
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Healthcare Provider Taxonomy Code #1363LF0000X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1Nurse Practitioner
Provider License Number 1F330329-1
Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code 1NY
Healthcare Provider Primary Taxonomy Switch 1Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Other Provider Identifier 11C7106
Other Provider Identifier #1
Other Provider Identifier Type 11
  • 1 - Other
  • 5 - MEDICAID
Other Provider Identifier Issuer 1HEALTH NET CERTIFICATION
Other Provider Identifier Issuer #1
Other Provider Identifier 21403314
Other Provider Identifier #2
Other Provider Identifier Type 25
  • 1 - Other
  • 5 - MEDICAID
Other Provider Identifier State 2NY
Other Provider Identifier State #2
Provider Gender CodeF
  • M - male
  • F - female
Is sole proprietorN
  • X - Not Answered
  • Y - Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor
  • N - No, Entity Type 1 Provider (Individual) is not a Sole Proprietor
X

Share this page?