Janine Domenica Pettit

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

252 Islip Ave
Islip, NY 11751-3015

Phone

(631) 581-6800

NPI assigned

Jul 10, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Kids in Action

  • Early Intervention Provider Agency
  • Islip, NY
  • NPI 1790143311
  NPD (past)
• Kids in Action of L.I. Inc.

  • Specialist
  • Islip, NY
  • NPI 1366596579
  NPD (past)

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

{
    "created_epoch": "1720569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1063259836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CREST LN",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117251321",
            "telephone_number": "631-921-0234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 ISLIP AVE",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "117513015",
            "telephone_number": "631-581-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTIT",
        "first_name": "JANINE",
        "middle_name": "DOMENICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-10",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Beth Perez, LMSW
• Linda Luann Perez, RN
• Kristin R Perino Palmeri, PSYD
• Joseph Gerald Perino, PH.D
• Crystal Person
• Norman Pflaster, MD
• Canh Pham, RPH
• Jessica Ann Piazza
• Nicholas J Piazzolla
• Harry Placide, LMT

• Specialist in Islip, NY
• Providers in Islip, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.