Individual provider Active NPI

Jennifer Chiofalo, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Garden City, NY
National Provider Identifier
1184169369
Registry record updated Feb 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F402099 Issued in NY
Practice address
601 Franklin Ave Ste 120
Garden City, NY 11530-5760
Phone
(516) 280-9030
Fax
(516) 280-9029
NPI assigned
Dec 27, 2016
Last updated
Feb 24, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F402099 NY Primary

Addresses

Primary practice location

601 Franklin Ave Ste 120
Garden City, NY 11530-5760

Mailing address

601 Franklin Ave Ste 120
Garden City, NY 11530-5760
Phone (516) 280-9030

Other practice location 1

513 Oceanpoint Ave
Cedarhurst, NY 11516-1347
Phone (631) 505-3651

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
I20180905001125 NY Practitioner - Nurse Practitioner 4587914031 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Nassau Psychiatric Services PCGroup PAC ID 4385930825, 5 clinicians

Practice addresses (Care Compare)

626 RXR PLZ
Uniondale, NY 11556-3829
Phone (516) 280-9030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F402099NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nassau Psychiatric Services, P.C. CurrentSince Aug 1, 2018 Accepting new patients
Continental Psychiatric Services, PLLC Past Accepting new patients

Locations

601 Franklin Ave
Ste 120
Garden City, NY 11530
Phone (516) 280-9030

626 Rxr Plz
Uniondale, NY 11556
Phone (516) 280-9030

Organizations & group practices 2

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": "1482796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1184169369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 FRANKLIN AVE STE 120",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305760",
            "telephone_number": "516-280-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 FRANKLIN AVE STE 120",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305760",
            "telephone_number": "516-280-9030",
            "fax_number": "516-280-9029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "513 Oceanpoint Ave",
            "address_purpose": "LOCATION",
            "city": "Cedarhurst",
            "state": "NY",
            "postal_code": "115161347",
            "country_code": "US",
            "telephone_number": "631-505-3651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHIOFALO",
        "first_name": "JENNIFER",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-27",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F402099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

Verify at the official NPI Registry.