Individual provider Active NPI

Althea Jola

  • Infusion Therapy Registered Nurse
  • East Northport, NY
National Provider Identifier
1639976434
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Registered NurseTaxonomy code 163WI0500X
License
433429-01 Issued in NY
Practice address
42 Greenvale Dr
East Northport, NY 11731-4114
Phone
(516) 524-7530
NPI assigned
Feb 27, 2025
Last updated
Feb 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Registered Nurse 163WI0500X 433429-01 NY Primary
Emergency Registered Nurse 163WE0003X 433429-01 NY

Addresses

Primary practice location

42 Greenvale Dr
East Northport, NY 11731-4114

Mailing address

42 Greenvale Dr
East Northport, NY 11731-4114
Phone (516) 524-7530

Other practice location 1

42 Greenvale Dr
East Northport, NY 11731-4114
Phone (516) 524-7530

Other practice location 2

42 Greenvale Dr
East Northport, NY 11731-4114
Phone (516) 524-7530

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

State licenses

LicenseStateTypeSpecialty
433429-01NYMDInfusion Therapy Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1740614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1639976434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 GREENVALE DR",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117314114",
            "telephone_number": "516-524-7530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 GREENVALE DR",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117314114",
            "telephone_number": "516-524-7530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "42 Greenvale Dr",
            "address_purpose": "LOCATION",
            "city": "East Northport",
            "state": "NY",
            "postal_code": "117314114",
            "country_code": "US",
            "telephone_number": "516-524-7530",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "42 Greenvale Dr",
            "address_purpose": "LOCATION",
            "city": "East Northport",
            "state": "NY",
            "postal_code": "117314114",
            "country_code": "US",
            "telephone_number": "516-524-7530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOLA",
        "first_name": "ALTHEA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-27",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WI0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "NY",
            "license": "433429-01",
            "primary": true
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "NY",
            "license": "433429-01",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Northport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; 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.