Eileen Ingenito, NP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

F302389-1 Issued in NY

Practice address

159 Indian Head Rd
Commack, NY 11725-2205

Phone

(631) 543-4500

Fax

(631) 543-5162

NPI assigned

Oct 6, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CCJFAD

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.

• Long Island Select Healthcare, Inc.

  dba LISH, Inc.

  • Federally Qualified Health Center (FQHC)
  • Central Islip, NY
  • NPI 1043663107
  Medicare reassignment NPD
• Long Island Select Healthcare, Inc.

  dba LISH, Inc.

  • Developmental Disabilities Clinic/Center
  • Riverhead, NY
  • NPI 1265987150
  NPD
• United Cerebral Palsy Association of Greater Suffolk, Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Ridge, NY
  • NPI 1063554970
  NPD (past)
• United Cerebral Palsy Association of Greater Suffolk, Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Lake Grove, NY
  • NPI 1154463065
  NPD (past)
• United Cerebral Palsy Association of Greater Suffolk, Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Lake Grove, NY
  • NPI 1235271149
  NPD (past)
• United Cerebral Palsy Association of Greater Suffolk, Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Stony Brook, NY
  • NPI 1346393188
  NPD (past)
• United Cerebral Palsy Association of Greater Suffolk, Inc

  • Voluntary or Charitable Agency
  • Lake Grove, NY
  • NPI 1396827820
  NPD (past)
• United Cerebral Palsy Association of Greater Suffolk, Inc

  • Early Intervention Provider Agency
  • Commack, NY
  • NPI 1689818403
  NPD (past)
• United Cerebral Palsy Association of Greater Suffolk, Inc

  • Voluntary or Charitable Agency
  • Hauppauge, NY
  • NPI 1992892053
  NPD (past)
• United Cerebral Palsy Association of Greater Suffolk, Inc.

  • Voluntary or Charitable Agency
  • Stony Brook, NY
  • NPI 1164519229
  NPD (past)
• United Cerebral Palsy Association of Greater Suffolk, Inc.

  • Voluntary or Charitable Agency
  • Lake Grove, NY
  • NPI 1225125388
  NPD (past)
• United Cerebral Palsy Association of Greater Suffolk, Inc.

  • Voluntary or Charitable Agency
  • Mount Sinai, NY
  • NPI 1235226390
  NPD (past)

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386731784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 445",
            "city": "GREAT RIVER",
            "state": "NY",
            "postal_code": "117390445",
            "telephone_number": "631-277-6769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 INDIAN HEAD RD",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117252205",
            "telephone_number": "631-543-4500",
            "fax_number": "631-543-5162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGENITO",
        "first_name": "EILEEN",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NY",
            "license": "F302389-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Michael Hurley, LMSW
• Elizabeth M Hyde-Daddio, RD, CDCES,CDN
• Sylvie Idoko
• Brittany Marie Imperato
• Infuserx Health LLC
• Karen Ingram, R.D.
• Ink Shelf Studios
• Insight Medical Diagnostics, PC
• Integrated Medical Diagnostic Services, P.C.
• Integrated Pain and Rehabilitation Solutions, PLLC

• Primary Care Nurse Practitioner in Commack, NY
• Providers in Commack, NY by specialty
• Primary Care Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.