Active NPI
Jillian Marie Fratepietro, RN, ANP-C
- Adult Health Nurse Practitioner
- East Setauket, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 30305265
- Practice address
- 24 Research Way
Suite 500
East Setauket, NY 11733-3487 - Phone
- (631) 444-6270
- Fax
- (631) 444-6552
- NPI assigned
- Aug 9, 2008
- Last updated
- Nov 27, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 30305265 | NY | Primary |
| Registered Nurse | 163W00000X | 521994 | NY |
Addresses
Primary practice location
24 Research Way
Suite 500
East Setauket, NY 11733-3487
Mailing address
HSC Level T9 RM 040 Ufpc Sbumc
Stony Brook Urology
Stony Brook, NY 11794-8093
Phone (631) 444-1916
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 521994 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Nicolls Rd
Stony Brook, NY 11794-0001
Phone (631) 444-0580
101 Nicolls Rd
Stony Brook, NY 11794-0001
Phone (631) 444-5220
255 W Montauk Hwy
Life Care Ctr
Hampton Bays, NY 11946
Phone (631) 723-5000
PO Box
Suite 1554
Stony Brook, NY 11790-0989
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 521994 | NY | MD | Registered Nurse |
| 30305265 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stony Brook Surgical Associates, University Faculty Practice Corporati | Current | Accepting new patients | |
| Stony Brook Internists, University Faculty Practice Corporation | Current | Accepting new patients | |
| Stony Brook Internists, University Faculty Practice Corporation | Current | Accepting new patients | |
| Stony Brook Internists, University Faculty Practice Corporation | Current | Accepting new patients | |
| Medical Services of Setauket, P.C. | Current | Accepting new patients | |
| Stony Brook Internists, University Faculty Practice Corporation | Past | Accepting new patients | |
| Mather Faculty Medical Affiliates, University Faculty Practice Corp | Past | Accepting new patients |
Locations
24 Research Way
Ste 500
Setauket, NY 11733
Phone (631) 444-6470
3400 Nesconset Hwy
Ste 101
Setauket, NY 11733
Phone (631) 751-8700
100 Nicolls Rd
Stony Brook, NY 11794
Phone (631) 444-1560
100 Nicolls Rd
#13202
Stony Brook, NY 11794
6144 Route 25A
Ste D21
Wading River, NY 11792
Phone (631) 751-8700
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 7
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353974400000",
"number": "1427204536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HSC LEVEL T9 RM 040 UFPC SBUMC",
"address_2": "STONY BROOK UROLOGY",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117948093",
"telephone_number": "631-444-1916",
"fax_number": "631-444-3765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 RESEARCH WAY",
"address_2": "SUITE 500",
"city": "EAST SETAUKET",
"state": "NY",
"postal_code": "117333487",
"telephone_number": "631-444-6270",
"fax_number": "631-444-6552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRATEPIETRO",
"first_name": "JILLIAN",
"middle_name": "MARIE",
"credential": "RN, ANP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-09",
"last_updated": "2012-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "30305265",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "521994",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "521994",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Setauket, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2012; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.