Jillian Faith Feola

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

1793634242 Issued in NY

Practice address

242 Garretson Ave
Staten Island, NY 10305-1234

Phone

(646) 334-3270

NPI assigned

Mar 25, 2024

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

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1114777075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 GARRETSON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103051234",
            "telephone_number": "646-334-3270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 GARRETSON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103051234",
            "telephone_number": "646-334-3270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEOLA",
        "first_name": "JILLIAN",
        "middle_name": "FAITH",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-25",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "1793634242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trinity Fenga
• Robin E Fenley, PHD, LCSW
• Fennec Performan LLC
• Nicole Lynette Fenton
• Sean Fenton, DO
• Joan Feola, L.C.S.W.
• Elma Feratovic
• Kaitlyn Ferber
• Edward Joseph Ferdinando, DPM
• Daniel J Ferebee, LPN

• Early Intervention Provider Agency in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.