Individual provider Active NPI

Jennifer Ann Squillante, FNP

  • Family Nurse Practitioner
  • New Rochelle, NY
National Provider Identifier
1104792027
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F356526 Issued in NY
Practice address
421 Huguenot St
New Rochelle, NY 10801-7004
Phone
(914) 235-5757
Fax
(914) 235-1382
NPI assigned
Oct 16, 2025
Last updated
Oct 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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 F356526 NY Primary

Addresses

Primary practice location

421 Huguenot St
New Rochelle, NY 10801-7004

Mailing address

421 Huguenot St
New Rochelle, NY 10801-7004
Phone (914) 235-5757

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
I20251205004061 NY Practitioner - Nurse Practitioner 1557854643 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amit MD PLLCGroup PAC ID 4688962772, 2 clinicians

Practice addresses (Care Compare)

78 Birchwood Dr
Huntington Station, NY 11746-3922
Phone (631) 423-3200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F356526NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Amit MD PLLC Multi-Specialty CurrentSince Oct 1, 2025 Accepting new patients

Locations

78 Birchwood Dr
South Huntington, NY 11746
Phone (631) 423-3200

Organizations & group practices 1

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": "1760572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1104792027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 HUGUENOT ST",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108017004",
            "telephone_number": "914-235-5757",
            "fax_number": "914-235-1382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 HUGUENOT ST",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108017004",
            "telephone_number": "914-235-5757",
            "fax_number": "914-235-1382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SQUILLANTE",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-16",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F356526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

Verify at the official NPI Registry.