Provider Demographics
NPI:1154312072
Name:NEWLAND, JAMESETTA A (PHD, APRN)
Entity Type:Individual
Prefix:DR
First Name:JAMESETTA
Middle Name:A
Last Name:NEWLAND
Suffix:
Gender:F
Credentials:PHD, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 DUNDERAVE RD
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10603-3029
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:41 PARK ROW
Practice Address - Street 2:3RD FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-1508
Practice Address - Country:US
Practice Address - Phone:212-346-1600
Practice Address - Fax:212-346-1308
Is Sole Proprietor?:No
Enumeration Date:2005-10-31
Last Update Date:2016-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF330329-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01403314Medicaid
1C7106OtherHEALTH NET CERTIFICATION