Active NPI
Jill Fetell, MD
- Internal Medicine Physician
- Pomona, NY
National Provider Identifier
1013072404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 145931
- Practice address
- 26 Firemans Memorial Dr
Suite 115
Pomona, NY 10970-3553 - Phone
- (845) 362-8400
- NPI assigned
- Dec 26, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 145931 | NY | Primary |
Addresses
Primary practice location
26 Firemans Memorial Dr
Suite 115
Pomona, NY 10970-3553
Mailing address
26 Firemans Memorial Dr
Suite 115
Pomona, NY 10970-3553
Phone (845) 362-8400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 20, 2017 through Jan 20, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rockland Integrative Medicine, PLLC | Internal Medicine | Past | Accepting new patients |
| JF Medical Services, PC | Past | Accepting new patients | |
| Jill M Fetell | Past | Accepting new patients | |
| Amazing Acupuncture,LLC | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
- West Nyack, NY
- NPI 1649480336
-
- Family Medicine Physician
- Pomona, NY
- NPI 1518231463
-
- Physical Medicine & Rehabilitation Physician
- West Nyack, NY
- NPI 1124264999
Internal Medicine
-
- Acupuncturist
- Pomona, NY
- NPI 1902103534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013072404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 FIREMANS MEMORIAL DR",
"address_2": "SUITE 115",
"city": "POMONA",
"state": "NY",
"postal_code": "109703553",
"telephone_number": "845-362-8400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 FIREMANS MEMORIAL DR",
"address_2": "SUITE 115",
"city": "POMONA",
"state": "NY",
"postal_code": "109703553",
"telephone_number": "845-362-8400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FETELL",
"first_name": "JILL",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "145931",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pomona, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.