Individual provider Active NPI

Jenniferta Arroyo, NP

  • Family Nurse Practitioner
  • Manhasset, NY
National Provider Identifier
1093398836
Registry record updated Apr 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
347533 Issued in NY
Practice address
800 Community Dr
Manhasset, NY 11030-3822
Phone
(516) 403-9104
NPI assigned
Apr 29, 2021
Last updated
Apr 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 347533 NY Primary

Addresses

Primary practice location

800 Community Dr
Manhasset, NY 11030-3822

Mailing address

800 Community Dr Ste 206
Manhasset, NY 11030-3821
Phone (516) 403-9104

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210924001522 NY Practitioner - Nurse Practitioner 8527465145 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fulton Medical PCGroup PAC ID 8527201540, 19 clinicians

Practice addresses (Care Compare)

60 Queens St
Suite 100
Syosset, NY 11791-3058
Phone (631) 271-9151

Merit-based Incentive Payment System (MIPS)

Final score
92.71 of 100Reported as group
Quality
79.66
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
347533NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Compassionate Community Physicians PC CurrentSince Sep 9, 2022 Accepting new patients
North Shore Complete Medical PC CurrentSince Apr 26, 2020 Accepting new patients
Caring Heart Cardiology and Primary Care P.C. CurrentSince Jun 22, 2021 Accepting new patients
Fulton Medical, P.C. CurrentSince May 1, 2023 Accepting new patients

Locations

4295 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 520-2250

68 Hauppauge Rd
Commack, NY 11725
Phone (631) 499-6500

800 Community Dr
Ste 206
Manhasset, NY 11030
Phone (516) 403-9104

5353 Merrick Rd
Massapequa, NY 11758
Phone (516) 798-1800

400 S Service Rd
Melville, NY 11747
Phone (631) 439-3000

2478 Jerusalem Ave
North Bellmore, NY 11710
Phone (516) 317-1681

305 Locust Ave
Oakdale, NY 11769
Phone (631) 218-5900

60 Queens St
Ste 100
Syosset, NY 11791
Phone (347) 267-0904

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1619654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1093398836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 COMMUNITY DR STE 206",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303821",
            "telephone_number": "516-403-9104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 COMMUNITY DR",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303822",
            "telephone_number": "516-403-9104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARROYO",
        "first_name": "JENNIFERTA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-29",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "347533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhasset, NY

Sources for this page

Verify at the official NPI Registry.