Individual provider Active NPI

Jane Avella, MD

  • Emergency Medicine Physician
  • Mineola, NY
National Provider Identifier
1184782492
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
140720 Issued in NY
Practice address
292 Herricks Rd
Mineola, NY 11501-1119
Phone
(516) 294-8910
Fax
(516) 294-4009
NPI assigned
Dec 5, 2006
Last updated
Apr 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 25MA10993600 NJ
Emergency Medicine Physician 207P00000X 140720 NY Primary

Addresses

Primary practice location

292 Herricks Rd
Mineola, NY 11501-1119

Mailing address

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104

Other practice location 1

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (855) 624-8963

Other names 1

  • Mrs. Jane Avella Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT, NJ3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20040515000036 NY Practitioner - Emergency Medicine 3678563269 Reassigns benefits to 1 organization
I20241009000948 CT Practitioner - Emergency Medicine 3678563269 Reassigns benefits to 1 organization
I20260507001899 NJ Practitioner - Emergency Medicine 3678563269 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Johns Hopkins University School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City Medical of Upper East Side PLLCGroup PAC ID 0648465039, shared by 3 NPIs, 658 clinicians

Practice addresses (Care Compare)

292 Herricks Rd
Mineola, NY 11501-1119
Phone (516) 746-2273

506 Westport Ave
Norwalk, CT 06851-4424
Phone (203) 706-4170

Merit-based Incentive Payment System (MIPS)

Final score
86.33 of 100Reported as group
Quality
82.1
Promoting interoperability
100
Improvement activities
40
Cost
72.34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA10993600NJMDEmergency Medicine Physician
140720NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City Medical of Upper East Side, PLLC Current Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Dec 6, 2013 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Dec 6, 2013 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Sep 30, 2024 Accepting new patients
City Medical of Upper East Side, PLLC Past Accepting new patients

Locations

506 Westport Ave
Norwalk, CT 06851
Phone (203) 706-4170

2459 Merrick Rd
Bellmore, NY 11710
Phone (516) 826-2273

7425 Grand Ave
Elmhurst, NY 11373
Phone (718) 478-8400

415 Northern Blvd
#1
Great Neck, NY 11021
Phone (516) 829-2273

3276 Hempstead Tpke
Levittown, NY 11756
Phone (516) 764-2273

656 Wellwood Ave
Lindenhurst, NY 11757
Phone (516) 764-2273

585 Merrick Rd
Lynbrook, NY 11563
Phone (516) 596-2273

292 Herricks Rd
Mineola, NY 11501
Phone (516) 294-8910

336 E 86th St
New York, NY 10028
Phone (212) 772-3627

1345 Avenue of the Americas
Fl 8
New York, NY 10105
Phone (212) 913-0828

1345 Rxr Plz
Uniondale, NY 11556
Phone (516) 453-0435

1345 Rxr Plz
Fl 13
Uniondale, NY 11556
Phone (516) 453-0435

Interoperability endpoints

  • Direct secure messaging: jane.avella.1@2983.direct.athenahealth.com
  • Direct secure messaging: jane.avella.2@2983.direct.athenahealth.com

Organizations & group practices 6

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": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1184782492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DIAMOND HILL RD",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079222104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "292 HERRICKS RD",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115011119",
            "telephone_number": "516-294-8910",
            "fax_number": "516-294-4009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Diamond Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Berkeley Heights",
            "state": "NJ",
            "postal_code": "079222104",
            "country_code": "US",
            "telephone_number": "855-624-8963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AVELLA",
        "first_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MA10993600",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "140720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANE",
            "last_name": "AVELLA",
            "prefix": "MRS.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mineola, NY

Sources for this page

Verify at the official NPI Registry.