Gina Faccioli

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

562207 Issued in NY

Practice address

860 Belleville Dr
Valley Cottage, NY 10989-2616

Phone

(845) 642-1522

NPI assigned

Sep 9, 2022

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)

Not enrolled

State licenses

Practice roles

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.

• Faith First Nursing Services

  • Home Health Agency
  • Valley Cottage, NY
  • NPI 1215367214
  NPD (past) Authorized official

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

{
    "created_epoch": "1662681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1053032870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 BELLEVILLE DR",
            "city": "VALLEY COTTAGE",
            "state": "NY",
            "postal_code": "109892616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 BELLEVILLE DR",
            "city": "VALLEY COTTAGE",
            "state": "NY",
            "postal_code": "109892616",
            "telephone_number": "845-642-1522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FACCIOLI",
        "first_name": "GINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-09",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "562207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele L Eiswerth, REGISTERED NURSE
• Elise Zbar NP in Family Health PLLC
• Elite Social Adult Day Care LLC
• Empire Orthopedic Physical Therapy and Rehabilitation, PLLC
• Natalie Camille Espeso
• John Patrick Fahy, DPT
• Faith First Nursing Services
• Family Practice Associates of Rockland, PC
• Pamela Fanara, COTA/L
• Diane Farris, OTR/L

• Registered Nurse in Valley Cottage, NY
• Providers in Valley Cottage, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; 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.