MRS. JAISA JOSEPH PALLICKAL MSN ANP
NPI 1003254657
Clinical Nurse Specialist - Adult Health in New York, NY

Active since June 05, 2013
75 BROAD ST, 0815, NEW YORK, NY 10004(718) 391-0611 Get Directions Write a Review

NPPES record last updated: June 5, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Jaisa Joseph Pallickal Msn Anp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JAISA JOSEPH PALLICKAL MSN ANP (NPI 1003254657) is an individual adult health provider in New York, New York, licensed in New York (305563) and active in the NPI registry since June 2013.

NPPES Registry Identity

NPI1003254657
Entity TypeIndividualFemale
Primary Taxonomy364SA2200X
Provider Legal NameMRS. JAISA JOSEPH PALLICKALCredential: MSN ANP
Location Address75 BROAD ST, 0815New York, NY 10004-2415
Mailing Address17 Best StWestwood, NJ 07675-2701 · (201) 358-0349
Sole ProprietorNo
Enumeration DateJune 5, 2013
NPI 1003254657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Nurse Specialist · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SA2200X
License Licensed in NY · 305563
75 BROAD ST, New York, NY 10004

Other Names 1

Former Name (1)Mrs. Annamma Zachariah Rn

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Adult Health)
75 BROAD ST, SUITE 815
NEW YORK, NY 10004
Registered Nurse
75 BROAD ST, SUITE 0815
NEW YORK, NY 10004
Registered Nurse (School)
75 BROAD ST, SUITE 1206
NEW YORK, NY 10004
Nurse Practitioner (Adult Health)
75 BROAD ST, STE 0815
NEW YORK, NY 10004
Preferred Provider Organization
75 BROAD ST, 815
NEW YORK, NY 10004
Physician Assistant
75 BROAD ST
NEW YORK, NY 10004
Nurse Practitioner (Adult Health)
75 BROAD ST, SUITE 0815
NEW YORK, NY 10004
Nurse Practitioner (Critical Care Medicine)
75 BROAD ST, SUITE 0815
NEW YORK, NY 10004

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jaisa Pallickal's NPI number?

The NPI number for Jaisa Pallickal is 1003254657. It was assigned to this individual provider in the NPPES registry on June 5, 2013. The provider is also known as Mrs. Annamma Zachariah Rn.

Where is Jaisa Pallickal located?

Jaisa Pallickal practices at 75 Broad St 0815, New York, NY 10004. The listed phone number is (718) 391-0611.

What is Jaisa Pallickal's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Adult Health, with taxonomy code 364SA2200X.

When was this NPI record last updated?

The NPPES record for Jaisa Pallickal was last updated on June 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.