Ilyse B Febbraro, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F342024-1 Issued in NY

Practice address

1350 Deer Park Ave
North Babylon, NY 11703-1619

Phone

(631) 482-1355

Fax

(631) 482-1356

NPI assigned

Aug 23, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

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.

• Atul N. Shah, MD, PC

  • Medical Specialty Clinic/Center
  • Shirley, NY
  • NPI 1518126788
  NPD (past)

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

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1578080446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 DEER PARK AVE",
            "city": "NORTH BABYLON",
            "state": "NY",
            "postal_code": "117031619",
            "telephone_number": "631-482-1355",
            "fax_number": "631-482-1356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 DEER PARK AVE",
            "city": "NORTH BABYLON",
            "state": "NY",
            "postal_code": "117031619",
            "telephone_number": "631-482-1355",
            "fax_number": "631-482-1356"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6175 Sunrise Hwy",
            "address_purpose": "LOCATION",
            "city": "Massapequa",
            "state": "NY",
            "postal_code": "117585341",
            "country_code": "US",
            "telephone_number": "516-804-2100",
            "fax_number": "631-482-1356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FEBBRARO",
        "first_name": "ILYSE",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-23",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F342024-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amiens Exume
• Eyecare Advantage, Inc.
• Katharine Farrell, P.T.
• Michaela Catherine Fatuzzo, RD
• Pasha Fay, LMT
• Kimberly M Fequiere
• Emily Fernandez, DDS, MS
• Lisa Ann Ferraro, LMSW
• Yvette M Ferrer, SPECIAL EDUCATION
• Cathy L. Ficalora, RD,CDE

• Family Nurse Practitioner in North Babylon, NY
• Providers in North Babylon, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.