JACQUELINE C ANDERSON
NPI 1205758455
Registered Nurse in New York, NY

Active since July 29, 2026
1412 BROADWAY STE 2128, NEW YORK, NY 10018(718) 724-2818 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jacqueline C Anderson NPPES

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

JACQUELINE C ANDERSON (NPI 1205758455) is an individual registered nurse in New York, New York, licensed in New York (433549) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1205758455
Entity TypeIndividual
Primary Taxonomy163W00000X
Provider Legal NameJACQUELINE C ANDERSON
Location Address1412 BROADWAY STE 2128New York, NY 10018-9228
Mailing Address15 E 43rd StBrooklyn, NY 11203-2110
Sole ProprietorYes
Enumeration DateJuly 29, 2026
NPPES CertifiedJuly 29, 2026
✔ NPI 1205758455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License✔ Licensed in NY · 433549
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
1412 BROADWAY STE 2128, New York, NY 10018

Other Providers at the Same Location NPPES 4

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

Registered Nurse (School)
1412 BROADWAY STE 2128
NEW YORK, NY 10018
Registered Nurse
1412 BROADWAY STE 2128
NEW YORK, NY 10018
Occupational Therapist
1412 BROADWAY STE 2128
NEW YORK, NY 10018
Registered Nurse (School)
1412 BROADWAY STE 2128
NEW YORK, NY 10018

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 Jacqueline Anderson's NPI number?

The NPI number for Jacqueline Anderson is 1205758455. It was assigned to this individual provider in the NPPES registry on July 29, 2026.

Where is Jacqueline Anderson located?

Jacqueline Anderson practices at 1412 Broadway Ste 2128, New York, NY 10018. The listed phone number is (718) 724-2818.

What is Jacqueline Anderson's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

When was this NPI record last updated?

The NPPES record for Jacqueline Anderson was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.