Individual provider Active NPI

Jillian Toal, CRNP

  • Family Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1619408358
Registry record updated May 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP017082 Issued in PA
Practice address
132 S 10TH St
Main Building, Suite 480
Philadelphia, PA 19107-5244
Phone
(215) 955-8900
NPI assigned
Mar 24, 2017
Last updated
May 2, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2019

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 SP017082 PA Primary

Addresses

Primary practice location

132 S 10TH St
Main Building, Suite 480
Philadelphia, PA 19107-5244

Mailing address

132 S 10TH St
Main Building, Suite 480
Philadelphia, PA 19107-5244
Phone (215) 955-8900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 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
I20220425001058 PA Practitioner - Nurse Practitioner 2062809908 Reassigns benefits to 1 organization
I20241217002490 NJ Practitioner - Nurse Practitioner 2062809908 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

26 E Red Bank Ave
Woodbury, NJ 08096-1611
Phone (856) 848-4464

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dimarino-Kroop-Prieto Gastro Intestinal Associates PA CurrentSince Nov 1, 2024 Accepting new patients
Jefferson University Physicians CurrentSince Jan 19, 2022 Accepting new patients
Dimarino-Kroop-Prieto Gastro-Intestinal Associates,PA Current Accepting new patients
Jefferson University Physicians Past Accepting new patients

Locations

698 Mullica Hill Rd
Mullica Hill, NJ 08062
Phone (856) 508-1000

698 Mullica Hill Rd
Ste 310
Mullica Hill, NJ 08062
Phone (856) 848-4464

26 E Red Bank Ave
Woodbury, NJ 08096
Phone (856) 848-4464

132 S 10th St
#480
Philadelphia, PA 19107
Phone (215) 955-3947

132 S 10th St
Ste 480
Philadelphia, PA 19107
Phone (215) 955-1132

925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760

Organizations & group practices 4

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1490313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556755200000",
    "number": "1619408358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 S 10TH ST",
            "address_2": "MAIN BUILDING, SUITE 480",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075244",
            "telephone_number": "215-955-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 S 10TH ST",
            "address_2": "MAIN BUILDING, SUITE 480",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075244",
            "telephone_number": "215-955-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOAL",
        "first_name": "JILLIAN",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-24",
        "last_updated": "2019-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP017082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.