Provider Demographics
NPI:1215810874
Name:TESTOSTERONE & CO
Entity type:Organization
Organization Name:TESTOSTERONE & CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:JANUSZEWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:516-592-0902
Mailing Address - Street 1:1428 VALENTINE ST
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32901-3130
Mailing Address - Country:US
Mailing Address - Phone:321-262-0847
Mailing Address - Fax:
Practice Address - Street 1:1428 VALENTINE ST
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32901-3130
Practice Address - Country:US
Practice Address - Phone:321-262-0847
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-30
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center