Individual provider Active NPI

Jillian Genna, NP

  • Family Nurse Practitioner
  • White Plains, NY
National Provider Identifier
1528653078
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
345451 Issued in NY
Practice address
34 S Broadway Ste 401
White Plains, NY 10601-4430
Phone
(347) 480-0757
NPI assigned
Mar 6, 2021
Last updated
Oct 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 314179 AZ
Family Nurse Practitioner 363LF0000X 26NJ15073700 NJ
Family Nurse Practitioner 363LF0000X 12368 CT
Family Nurse Practitioner 363LF0000X NP500014514 DC
Family Nurse Practitioner 363LF0000X 345451 NY Primary

Addresses

Primary practice location

34 S Broadway Ste 401
White Plains, NY 10601-4430

Mailing address

6843 Juno St
Forest Hills, NY 11375-5727
Phone (516) 458-6837

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
I20260205000751 NY Order and Referring Only - Nurse Practitioner 6800375312

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
314179AZMDFamily Nurse Practitioner
12368CTMDFamily Nurse Practitioner
NP500014514DCMDFamily Nurse Practitioner
26NJ15073700NJMDFamily Nurse Practitioner
345451NYMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1614988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1528653078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6843 JUNO ST",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755727",
            "telephone_number": "516-458-6837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 S BROADWAY STE 401",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106014430",
            "telephone_number": "347-480-0757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENNA",
        "first_name": "JILLIAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-06",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "314179",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15073700",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "12368",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "NP500014514",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "345451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

Verify at the official NPI Registry.