Individual provider Active NPI

Jomarie Flederbachtaglienti, RN

  • Registered Nurse
  • Poughkeepsie, NY
National Provider Identifier
1629663018
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
339140-01 Issued in NY
Practice address
41 Page Park Dr
Poughkeepsie, NY 12603-7500
Phone
(845) 486-2850
Fax
(845) 486-2770
NPI assigned
Mar 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 339140-01 NY Primary

Addresses

Primary practice location

41 Page Park Dr
Poughkeepsie, NY 12603-7500

Mailing address

116 Radio Circle Dr Ste 309
Mount Kisco, NY 10549-2631
Phone (914) 666-0191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
339140-01NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington Center for Recovery, Inc. CurrentSince Dec 28, 2025 Accepting new patients
Lexington Center for Recovery, Inc. PastSince Mar 16, 2021 Accepting new patients

Organizations & group practices 2

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": "1615161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1629663018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 RADIO CIRCLE DR STE 309",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105492631",
            "telephone_number": "914-666-0191",
            "fax_number": "914-666-9107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 PAGE PARK DR",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126037500",
            "telephone_number": "845-486-2850",
            "fax_number": "845-486-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEDERBACHTAGLIENTI",
        "first_name": "JOMARIE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-08",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "339140-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.