Terri Anne Coyle Famularo, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R054801-1 Issued in NY

Practice address

1908 Brookhaven Ave
Far Rockaway, NY 11691-3626

Phone

(718) 869-8400

Fax

(718) 869-8405

NPI assigned

Oct 28, 2006

Last updated

Jan 5, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14448/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Episcopal Health Services Inc

  dba St. John's Pharmacy

  • Community/Retail Pharmacy
  • Far Rockaway, NY
  • NPI 1689151201
  NPD (past)
• St John's Medical Services PC

  • Internal Medicine Physician
  • Far Rockaway, NY
  • NPI 1023042173
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515110400000",
    "number": "1033295498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 BROOKHAVEN AVE",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116913626",
            "telephone_number": "718-869-8400",
            "fax_number": "718-869-8405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 BROOKHAVEN AVE",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116913626",
            "telephone_number": "718-869-8400",
            "fax_number": "718-869-8405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COYLE FAMULARO",
        "first_name": "TERRI",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-28",
        "last_updated": "2018-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R054801-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Jill Cordaro, RD CDE
• Kristy D'Janane Cordero, LMSW
• Dwight O Cordice
• Narda Guadalupe Coreas, LCSW
• Yans Cosculluela Moreno, MD
• Denesha C Craig
• Valerie Craven
• Marshalee Crawford
• Creative Care PT PC
• Nicole J Crews

• Clinical Social Worker in Far Rockaway, NY
• Providers in Far Rockaway, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.