| Kettely Joseph, APRN | |
|
2015 Grand Ave, Bronx, NY 10453-4611 | |
| (718) 583-7736 | |
| (718) 537-6180 |
| Full Name | Kettely Joseph |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 2015 Grand Ave, Bronx, New York |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548973357 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LC0200X | Nurse Practitioner - Critical Care Medicine | 11023636 (Florida) | Secondary |
| 363LA2100X | Nurse Practitioner - Acute Care | F432622 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jackson Memorial Hospital | Miami, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Oak Grove Physician Services Pa | 8628421526 | 65 |
| Suffolk Primary Health Llc | 9436420510 | 46 |
| Entity Name | Oak Grove Physician Services PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689446700 PECOS PAC ID: 8628421526 Enrollment ID: O20240126002791 |
| Mailing Address | Practice Location Address |
|---|---|
| Kettely Joseph, APRN 2626 Halperin Ave, Bronx, NY 10461-2631 Ph: (718) 618-0401 | Kettely Joseph, APRN 2015 Grand Ave, Bronx, NY 10453-4611 Ph: (718) 583-7736 |
Anita Asamoah, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3458 Fenton Ave, Apt-1b, Bronx, NY 10469 Phone: 646-359-9538 |
Ms. Christina Marie Araujo, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2460 Mickle Ave, Bronx, NY 10469 Phone: 718-652-4647 |
Tandika Boatswain, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2015 Grand Concourse, Bronx, NY 10453 Phone: 718-299-7295 Fax: 718-299-6797 |
Silvia R Mehmel, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2514 Woodhull Ave, Bronx, NY 10469 Phone: 718-618-0401 Fax: 718-294-6276 |
Mrs. Keisha A Ballentine-cargill, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 841 Burke Ave, Bronx, NY 10467 Phone: 718-654-1726 |
Cynthia Jean, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2015 Grand Concourse, Bronx, NY 10453 Phone: 718-299-7295 |
Alfred Jean, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 930 E Tremont Ave, Bronx, NY 10460 Phone: 718-860-1111 Fax: 646-240-1320 |