Healthcare Provider Details

I. General information

NPI: 1669326963
Provider Name (Legal Business Name): JG NP IN FAMILY HEALTH, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

629 E 22ND ST
BROOKLYN NY
11210-1101
US

IV. Provider business mailing address

629 E 22ND ST
BROOKLYN NY
11210-1101
US

V. Phone/Fax

Practice location:
  • Phone: 917-804-3705
  • Fax:
Mailing address:
  • Phone: 718-736-2051
  • Fax: 347-851-8326

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER GARIB
Title or Position: PRESIDENT
Credential: PMHNP-BC, FNP-BC
Phone: 917-804-3705