Jennifer Phelan, RN

Primary specialty

Infusion Therapy Registered NurseTaxonomy code 163WI0500X

License

512007-1 Issued in NY

Practice address

12 Water St Apt 401a
White Plains, NY 10601-1401

Phone

(888) 722-2072

NPI assigned

Dec 1, 2022

Last updated

Dec 1, 2022By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1669852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1467162354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 DREWRY LN",
            "city": "TAPPAN",
            "state": "NY",
            "postal_code": "109831105",
            "telephone_number": "917-560-2891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 WATER ST APT 401A",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106011401",
            "telephone_number": "888-722-2072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELAN",
        "first_name": "JENNIFER",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-01",
        "last_updated": "2022-12-01",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WI0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "NY",
            "license": "512007-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krista M Pettinato, OTR/L MED
• Vladimir M. Pevzner, M.D.
• Shoshana Peyser, LCSW-R, PHD
• Cynthia Pfeffer, MD
• Marina Pfeiffer, M.S. LMHC
• Philip Fried (Westchester Dermatology Center)
• Philip Fried MD PLLC
• Philip Zuckerman, MD, PC
• Emily M Philip, PA-C
• Asani Ivor Phillips, MD

• Infusion Therapy Registered Nurse in White Plains, NY
• Providers in White Plains, NY by specialty
• Infusion Therapy Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.