Jennifer Alicia Aquino, ARNP
Individual provider Active NPI Family Nurse Practitioner · New York, NY
NPI 1285077636 · NPPES record last updated Aug 3, 2020
Key facts
- NPI
- 1285077636
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- F339023-1 (NY)
- Practice address
- 2771 Frederick Douglass Blvd
New York, NY 10039-3027 - Phone
- (212) 690-0303
- Fax
- (212) 636-3000
- NPI assigned
- Apr 15, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NY, NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160307000098 | NY | Practitioner - Nurse Practitioner | 7113155128 | Reassigns benefits to 4 organizations |
| I20250115000256 | NJ | Practitioner - Nurse Practitioner | 7113155128 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F339023-1 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icahn School of Medicine at Mount Sinai | Current |
Accepting new patients | |
| Sun River Health Inc | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Shakespeare Operating LLC | Current |
Accepting new patients | |
| Infinite Medical PC | Current |
Accepting new patients | |
| Essen Medical Urgicare, PLLC | Current |
Accepting new patients | |
| Essen Medical Associates, PC | Current |
Accepting new patients | |
| Essen Medical Associates, PC | Current |
Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current |
Accepting new patients |
Locations
101 Walnut St
Neptune City, NJ 07753
Phone (732) 774-2336
3360 Route 343
Amenia, NY 12501
Phone (845) 373-9006
1250 Shakespeare Ave
Bronx, NY 10452
Phone (646) 350-1633
2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200
1550 Dr Martin L King Jr Blvd
Bronx, NY 10452
Phone (347) 269-2366
2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400
250 Skillman St
Ste 202
Brooklyn, NY 11205
8989 Union Tpke
Glendale, NY 11385
Phone (718) 480-6207
150 E 42nd St
Fl 9
New York, NY 10017
Phone (646) 605-8119
1000 10th Ave
New York, NY 10019
Phone (212) 523-2369
1111 Amsterdam Ave
New York, NY 10025
Phone (212) 523-2309
2771 Frederick Douglass Blvd
New York, NY 10039
Phone (212) 690-0303
17 E 102nd St
New York, NY 10029
Phone (212) 241-7968
Interoperability endpoints
- jennifer.aquino.1@24989.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F339023-1 | NY | Yes |
Addresses
Primary practice location
2771 Frederick Douglass Blvd
New York, NY 10039-3027
Mailing address
150 E 42ND St FL 9
New York, NY 10017-5699
Phone (646) 605-8186
Other practice location 1
1000 10th Ave
New York, NY 10019-1147
Phone (212) 523-4000
Other practice location 2
1111 Amsterdam Ave
New York, NY 10025-1716
Phone (212) 523-4000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F339023-1 | Other | NY | NYC LICENSE |
Other providers in New York, NY
- Ana Lorena Aquino Obando
- Maria Aquino-Ogando
- Aled Aquino
- Dean Patrick H Aquino
- Greisse Aquino
- Juana Aquino
- Justin Aquino
- Norma Aquino
- Pilar Aquino
- Samantha J. G. Aquino
All providers in New York, NY · Family Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.