Active NPI
Jaye Ellen Racanelli, A.N.P.
- Nurse Practitioner
- Huntington, NY
National Provider Identifier
1124164652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- F303025
- Practice address
- 195 E Main St
Huntington, NY 11743-2957 - Phone
- (631) 549-8181
- Fax
- (631) 549-2028
- NPI assigned
- Jan 30, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | F303025 | NY | Primary |
Addresses
Primary practice location
195 E Main St
Huntington, NY 11743-2957
Mailing address
195 E Main St
Huntington, NY 11743-2957
Phone (631) 549-8181
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F303025 | NY | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241568000000",
"number": "1124164652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "195 E MAIN ST",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117432957",
"telephone_number": "631-549-8181",
"fax_number": "631-549-2028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "195 E MAIN ST",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117432957",
"telephone_number": "631-549-8181",
"fax_number": "631-549-2028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RACANELLI",
"first_name": "JAYE",
"middle_name": "ELLEN",
"credential": "A.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-30",
"last_updated": "2009-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "F303025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntington, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2009; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.