Active NPI
Jillian Nostro, DO
- Hospitalist Physician
- Patchogue, NY
National Provider Identifier
1306549043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 334513
- Practice address
- 101 Hospital Rd
Patchogue, NY 11772-4870 - Phone
- (631) 654-7100
- NPI assigned
- Mar 22, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 334513 | NY | |
| Hospitalist Physician | 208M00000X | 334513 | NY | Primary |
Addresses
Primary practice location
101 Hospital Rd
Patchogue, NY 11772-4870
Mailing address
73 8TH Ave
Kings Park, NY 11754-4301
Phone (631) 626-5450
Other practice location 1
888 Old Country Rd
Plainview, NY 11803-4914
Phone (516) 719-2543
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Bluemark LLC / Office Ally |
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: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787788800000",
"number": "1306549043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "73 8TH AVE",
"city": "KINGS PARK",
"state": "NY",
"postal_code": "117544301",
"telephone_number": "631-626-5450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 HOSPITAL RD",
"city": "PATCHOGUE",
"state": "NY",
"postal_code": "117724870",
"telephone_number": "631-654-7100"
}
],
"practiceLocations": [
{
"address_1": "888 Old Country Rd",
"address_purpose": "LOCATION",
"city": "Plainview",
"state": "NY",
"postal_code": "118034914",
"country_code": "US",
"telephone_number": "516-719-2543",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NOSTRO",
"first_name": "JILLIAN",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-03-22",
"last_updated": "2026-08-27",
"certification_date": "2026-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "334513",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NY",
"license": "334513",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.2019.3",
"affiliationName": "Bluemark LLC / Office Ally",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "1300 SE Cardinal Ct Ste 190",
"city": "Vancouver",
"state": "WA",
"country_code": "US",
"postal_code": "986839683",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Patchogue, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; 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.