Organization Active NPI

Jenn Jill Family Inc

  • Durable Medical Equipment & Medical Supplies
  • Rego Park, NY
National Provider Identifier
1255123972
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
JENN JILL FAMILY INC
Doing business as
Jenn Jill Family Inc
Practice address
6439 98TH St Apt 4C
Rego Park, NY 11374-3306
Phone
(347) 813-9411
NPI assigned
May 19, 2025
Last updated
May 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Authorized official

Name
Madona Katsadze
Title
President
Phone
(347) 813-9411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

6439 98TH St Apt 4C
Rego Park, NY 11374-3306

Mailing address

6439 98TH St Apt 4C
Rego Park, NY 11374-3306
Phone (347) 813-9411

Other names 1

  • Jenn Jill Family Inc Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1747612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747612800000",
    "number": "1255123972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6439 98TH ST APT 4C",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743306",
            "telephone_number": "347-813-9411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6439 98TH ST APT 4C",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743306",
            "telephone_number": "347-813-9411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENN JILL FAMILY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-19",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A",
        "authorized_official_last_name": "KATSADZE",
        "authorized_official_first_name": "MADONA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-813-9411"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jenn Jill Family Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rego Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; 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.