Julie Lauren Pennetti, ANP-C, RN, CCRN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

308809 Issued in NY

Practice address

340 W Park Ave
Long Beach, NY 11561-3213

Phone

(855) 605-4837

NPI assigned

Jan 14, 2019

Last updated

Mar 31, 2021By the provider in NPPES

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

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mt. Sinai at Home Home health agency, Westbury, NY, CCN 337246

Merit-based Incentive Payment System (MIPS)

Final score

90.8 of 100Reported as group

Quality

91.79

Promoting interoperability

100

Improvement activities

40

Cost

75.18

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jpennetti346365@nyumc.direct-ci.com
• Direct secure messaging: juliepennetti@nslijmedgr.allscriptsdirect.net

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.

• New York University

  dba NYU Faculty Group Practice

  • Cardiovascular Disease Physician
  • Boynton Beach, FL
  • NPI 1285826438

  NY

  Medicare reassignment Care Compare group NPD
• New York University

  dba NYU Langone Ambulatory Care Chelsea

  • Physical Medicine & Rehabilitation Physician
  • Boynton Beach, FL
  • NPI 1104787613
  NPD

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

• Ogl Holdings, LLC

  • Home Health Agency
  • Westbury, NY
  • NPI 1295483618
  Care Compare affiliation

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

{
    "created_epoch": "1547424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1629542691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 W PARK AVE",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115613213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 W PARK AVE",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115613213",
            "telephone_number": "855-605-4837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNETTI",
        "first_name": "JULIE",
        "middle_name": "LAUREN",
        "name_prefix": "Mrs.",
        "credential": "ANP-C, RN, CCRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-14",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "308809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jpennetti346365@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "340 W Park Ave",
            "city": "Long Beach",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115613213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Debra A Pearce, LMSW
• Stephen B Pearlstein, RPH
• Pellicane Chiropractic PC
• Norman P Peltz, RPH
• Daniel Joseph Pender, MD
• Mark Perelman
• Molly Helen Perrotta, PNP-PC
• Sharon M Persky, ERYT-500
• Peter S Gelfand D O P C
• Josephine Pezzillo

• Adult Health Nurse Practitioner in Long Beach, NY
• Providers in Long Beach, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.