Jennifer Cavallaro, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

344596 Issued in NY

Practice address

792 N Main St Ste 100B
North Syracuse, NY 13212-1661

Phone

(315) 458-4623

NPI assigned

Jun 21, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jcavallaro@hiemail.healtheconnections.org

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.

• Auburn Memorial Medical Services, PC

  • Orthopaedic Surgery Physician
  • Auburn, NY
  • NPI 1194913749
  Medicare reassignment NPD
• North Area Pediatrics, PC

  • Pediatrics Physician
  • Liverpool, NY
  • NPI 1609949049
  Medicare reassignment NPD
• Auburn Memorial Medical Services, PC

  • Foot & Ankle Surgery Podiatrist
  • Auburn, NY
  • NPI 1467151852
  NPD

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

{
    "created_epoch": "1561075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561075200000",
    "number": "1053972034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "792 N MAIN ST STE 100B",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132121661",
            "telephone_number": "315-458-4623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "792 N MAIN ST STE 100B",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132121661",
            "telephone_number": "315-458-4623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVALLARO",
        "first_name": "JENNIFER",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-21",
        "last_updated": "2019-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "344596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "lamannafmp@gmail.com",
            "affiliation": "N",
            "address_1": "792 N Main St Ste 100B",
            "city": "North Syracuse",
            "state": "NY",
            "country_code": "US",
            "postal_code": "132121661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Caring Family Health Nurse Practitioners, PLLC
• Erin M Carroll, NP, CNM
• Bryant Paul Carruth, MD
• Joseph A Catania, MD
• Natalie Catania
• Kathleen Clark
• Nicole Elizabeth Clark, LMSW
• Elizabeth C Close, LMHC-D
• Cny Marriage & Family Therapy Place
• Cny Quality Transport,LLC

• Family Nurse Practitioner in North Syracuse, NY
• Providers in North Syracuse, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.