Individual provider Active NPI

Janine Fiorello, NPP

  • Psychiatric/Mental Health Nurse Practitioner
  • Oakdale, NY
National Provider Identifier
1386717460
Registry record updated Dec 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F400871-1 Issued in NY
Practice address
405 Locust Ave
Oakdale, NY 11769-1651
Phone
(631) 567-1626
Fax
(631) 567-1648
NPI assigned
Nov 16, 2006
Last updated
Dec 9, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F400871-1 NY Primary

Addresses

Primary practice location

405 Locust Ave
Oakdale, NY 11769-1651

Mailing address

4 Jefferson Rd
Farmingdale, NY 11735-2206
Phone (516) 586-4742

Other identifiers 2

IdentifierTypeStateIssuer
112XJ04091OtherMEDICARE PROVIDER #
F400871-1OtherNYLICENSE

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
I20070711000993 NY Practitioner - Nurse Practitioner 1759481369 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F400871-1NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Charles Evans Center, Inc CurrentSince Apr 12, 2022 Accepting new patients
Charles Evans Center, Inc. CurrentSince Apr 12, 2022 Accepting new patients
Family and Children's Association - Linkage Past Accepting new patients

Locations

857 S Oyster Bay Rd
Bethpage, NY 11714
Phone (516) 622-8888

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.

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449619200000",
    "number": "1386717460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 JEFFERSON RD",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117352206",
            "telephone_number": "516-586-4742",
            "fax_number": "516-586-4742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 LOCUST AVE",
            "city": "OAKDALE",
            "state": "NY",
            "postal_code": "117691651",
            "telephone_number": "631-567-1626",
            "fax_number": "631-567-1648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIORELLO",
        "first_name": "JANINE",
        "credential": "NPP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2015-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F400871-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER #",
            "identifier": "112XJ04091",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "F400871-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakdale, NY

Sources for this page

Verify at the official NPI Registry.