Jill E Coccaro-Santos, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F338865-1 Issued in NY

Practice address

1978 Crompond Road
Mount Kisco Medical Group PC
Cortlandt Manor, NY 10567

Phone

(914) 739-2121

Fax

(914) 739-2185

NPI assigned

Aug 31, 2006

Sex

Female

Sole proprietor

No

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.

• Optum Medical Care, P.C.

  • Cardiovascular Disease Physician
  • Mount Kisco, NY
  • NPI 1982643003

  NY

  Medicare reassignment Care Compare group NPD
• Comprehensive Pain Management PC

  • Rehabilitation Clinic/Center
  • Flushing, NY
  • NPI 1205952496

  NY

  Medicare reassignment
• Optum Medical Care, P.C.

  • Durable Medical Equipment & Medical Supplies
  • New Hyde Park, NY
  • NPI 1053190595
  NPD
• Mount Kisco Medical Group

  • Hematology (Internal Medicine) Physician
  • Fishkill, NY
  • NPI 1952356362
  NPD (past)

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Optum Medical Care PC 1,013 clinicians

Practice addresses (Care Compare)

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

State licenses

Practice roles (3 of 7)

Locations

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989

Interoperability endpoints

• Direct secure messaging: jill.coccarosantos@direct.hvhc.org

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 10, 2014.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418169600000",
    "number": "1124130802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 HENRY HUDSON PKWY",
            "address_2": "APARTMENT 20R",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104633224",
            "telephone_number": "646-306-5544",
            "fax_number": "347-947-4579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1978 CROMPOND ROAD",
            "address_2": "MOUNT KISCO MEDICAL GROUP PC",
            "city": "CORTLANDT MANOR",
            "state": "NY",
            "postal_code": "10567",
            "telephone_number": "914-739-2121",
            "fax_number": "914-739-2185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCCARO-SANTOS",
        "first_name": "JILL",
        "middle_name": "E",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2014-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "030070",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F338865-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Cichon, PA
• Thomas Ciliberto, PT DPT
• Andrew A Cinque, CPO
• Barbara Cipollaro, SPEECH AND HEARING
• Maria J. Cipriano-Connors, MS ED
• Tanya Cole-Lesnick, LCSW
• Community Orthopedic Associates
• Lisa Como-Sansotta
• Complete Medical Healthcare, PC
• Eileen Conde, CNM

• All providers in Cortlandt Manor, NY
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.