Active NPI
Jennifer Blaise Cinelli, N.P.
- Family Nurse Practitioner
- Beachwood, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F340479-1
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F340479-1 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mills Medical Practices, LLC | Current | Accepting new patients | |
| Medhat F Sami MD PC | Current | Accepting new patients | |
| Abode Care Partners Al VB, LLC | Current | Accepting new patients | |
| New York Internal Medicine, P.C. | Current | Accepting new patients | |
| Mills Medical Practices, LLC | Current | Accepting new patients | |
| Abode Care Partners Al VB, LLC | Current | 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.
-
- Nurse Practitioner
- Mason, OH
- NPI 1104695550
-
- Primary Care Clinic/Center
- Beachwood, OH
- NPI 1477701969
-
- Internal Medicine Physician
- Whitestone, NY
- NPI 1437591716
-
- Nurse Practitioner
- Texarkana, TX
- NPI 1528871126
-
- Internal Medicine Physician
- Whitestone, NY
- NPI 1427009752
-
dba Virginia Home Based Primary Care
- Primary Care Clinic/Center
- Abingdon, VA
- NPI 1841920287
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.