Jill A Muse, ANP CDE

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

F3023671 Issued in NY

Practice address

325 Meeting House LN
BLDG #2
Southampton, NY 11968-5087

Phone

(631) 283-2100

Fax

(631) 283-5731

NPI assigned

Apr 18, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• South Fork Medical Associates PC

  • Registered Dietitian
  • Southampton, NY
  • NPI 1144288077
  NPD (past)

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309392000000",
    "number": "1508821240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2340",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119692340",
            "telephone_number": "631-283-2100",
            "fax_number": "631-283-5731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 MEETING HOUSE LN",
            "address_2": "BLDG #2",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119685087",
            "telephone_number": "631-283-2100",
            "fax_number": "631-283-5731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSE",
        "first_name": "JILL",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "ANP CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-18",
        "last_updated": "2011-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F3023671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01956638",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia June Mott-Intermaggio, RLCSW, CASAC
• Stephanie Nicole Mueller
• Jeffrey M Muller, MD
• Robert A Munkelwitz, MD
• Mike Murphy
• Ashima Muttreja
• My HHA Cares Inc
• Unnikrishnan Nair, DO
• Sammy G Nakhla, M.D.
• Sara Nardi, PA

• Nurse Practitioner in Southampton, NY
• Providers in Southampton, NY by specialty
• Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2011; 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.