Individual provider Active NPI

Jennifer Blaise Cinelli, N.P.

  • Family Nurse Practitioner
  • Beachwood, OH
National Provider Identifier
1538520051
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F340479-1 Issued in NY
Practice address
3737 Park East Dr Ste 220
Beachwood, OH 44122-4347
Phone
(440) 368-6868
Fax
(440) 368-6866
NPI assigned
Mar 10, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F340479-1 NY Primary

Addresses

Primary practice location

3737 Park East Dr Ste 220
Beachwood, OH 44122-4347

Mailing address

1217 Georgetown CT
Fairborn, OH 45324-6007
Phone (917) 892-7218

Other practice location 1

5503 31st Ave
Apt. C4I
Woodside, NY 11377-1646
Phone (917) 892-7218

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181017000278 NY Practitioner - Nurse Practitioner 8921350109 Reassigns benefits to 1 organization
I20230512000656 OH Practitioner - Nurse Practitioner 8921350109 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F340479-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mills Medical Practices, LLC CurrentSince May 8, 2023 Accepting new patients
Medhat F Sami MD PC Current Accepting new patients
Abode Care Partners Al VB, LLC CurrentSince Jan 15, 2024 Accepting new patients
New York Internal Medicine, P.C. CurrentSince Sep 1, 2018 Accepting new patients
Mills Medical Practices, LLC CurrentSince May 8, 2023 Accepting new patients
Abode Care Partners Al VB, LLC CurrentSince Jan 15, 2024 Accepting new patients

Locations

805 N Whittington Pkwy
Ste 400
Louisville, KY 40222
Phone (502) 272-3438

805 N Whittington Pkwy
Ste 200
Louisville, KY 40222

805 N Whittington Pkwy
Northfield, KY 40222
Phone (502) 627-7000

2810 Steinway St
Astoria, NY 11103
Phone (718) 225-2244

1752 Francis Lewis Blvd
Whitestone, NY 11357
Phone (718) 746-9494

3733 Park East Dr
Ste 220
Beachwood, OH 44122
Phone (440) 368-6868

3737 Park East Dr
Ste 220
Beachwood, OH 44122
Phone (440) 368-6868

26110 Emery Rd
Ste 300
Warrensvl Hts, OH 44128
Phone (216) 292-5750

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1457568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1538520051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 GEORGETOWN CT",
            "city": "FAIRBORN",
            "state": "OH",
            "postal_code": "453246007",
            "telephone_number": "917-892-7218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 PARK EAST DR STE 220",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224347",
            "telephone_number": "440-368-6868",
            "fax_number": "440-368-6866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5503 31st Ave",
            "address_2": "Apt. C4I",
            "address_purpose": "LOCATION",
            "city": "Woodside",
            "state": "NY",
            "postal_code": "113771646",
            "country_code": "US",
            "telephone_number": "917-892-7218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CINELLI",
        "first_name": "JENNIFER",
        "middle_name": "BLAISE",
        "name_prefix": "Ms.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-10",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F340479-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.