Individual provider Active NPI

Pierre Ngili, MS, DNP, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Elmira, NY
National Provider Identifier
1316254683
Registry record updated Aug 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
402355 Issued in NY
Practice address
1019 E Water St
Elmira, NY 14901
Phone
(607) 733-5696
Fax
(607) 737-1379
NPI assigned
Sep 8, 2010
Last updated
Aug 27, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 26NR11657400 NJ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ00297600 NJ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 402355 NY Primary

Addresses

Primary practice location

1019 E Water St
Elmira, NY 14901

Mailing address

779 Norway Ave
Hamilton, NJ 08629-1304
Phone (609) 586-9654

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
I20190315001925 NY Practitioner - Nurse Practitioner 7012182025 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Family Services of Chemung County IncGroup PAC ID 2365332236, 13 clinicians
County of SteubenGroup PAC ID 3375522642, 17 clinicians

Practice addresses (Care Compare)

1019 E Water St
Elmira, NY 14901-3332
Phone (607) 733-5696

115 Liberty St
Bath, NY 14810-1508
Phone 60766422554066

3 E Pulteney SQ
Bath, NY 14810-1510
Phone 60766422554066

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
26NR11657400NJMDRegistered Nurse
26NJ00297600NJMDPsychiatric/Mental Health Nurse Practitioner
402355NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
County of Steuben CurrentSince Dec 4, 2019 Accepting new patients
County of Steuben CurrentSince Dec 4, 2019 Accepting new patients
Family Services of Chemung County, Inc. Registered Nurse CurrentSince Jan 29, 2019 Accepting new patients

Locations

115 Liberty St
Bath, NY 14810
Phone (607) 664-2156

3 E Pulteney Sq
Bath, NY 14810
Phone (607) 664-2255

1019 E Water St
Elmira, NY 14901
Phone (607) 733-5696

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1283904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535328000000",
    "number": "1316254683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "779 NORWAY AVE",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086291304",
            "telephone_number": "609-586-9654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 E WATER ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "14901",
            "telephone_number": "607-733-5696",
            "fax_number": "607-737-1379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGILI",
        "first_name": "PIERRE",
        "name_prefix": "Mr.",
        "credential": "MS, DNP, APN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-08",
        "last_updated": "2018-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR11657400",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00297600",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "402355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmira, NY

Sources for this page

Verify at the official NPI Registry.