Sally Jane Arbolino, C.P.N.P.

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

F380187 Issued in NY

Practice address

209 York St
PS 307 Room#140
Brooklyn, NY 11201-1509

Phone

(718) 834-4294

Fax

(718) 834-4295

NPI assigned

Feb 23, 2007

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

Other identifiers 1

Other names 1

• Ms. Sally J Arbolino Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Pediatric 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.

• NYU Lutheran Medical Center

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1538111653
  NPD (past)

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308009600000",
    "number": "1659406106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 YORK ST",
            "address_2": "PS 307 ROOM#140",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112011509",
            "telephone_number": "718-834-4294",
            "fax_number": "718-834-4295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 YORK ST",
            "address_2": "PS 307 ROOM#140",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112011509",
            "telephone_number": "718-834-4294",
            "fax_number": "718-834-4295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARBOLINO",
        "first_name": "SALLY",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "C.P.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2011-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "F380187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1I     02091550  2",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SALLY",
            "last_name": "ARBOLINO",
            "middle_name": "J",
            "prefix": "MS.",
            "credential": "C.P.N.P.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Lillian Arbelo, LCSW
• Erick J Arbenz Canales, MD
• Joel Arbisser, MD
• Ehud Arbit, MD
• Alexander L Arboleda, PT
• Arc. Transitional Minds. Inc.
• Cyzar Arca, CPS-P
• Cyzar Arca, MD
• Marilyn M Arca, MD
• William Arca, RPH

• Pediatric Nurse Practitioner in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pediatric Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2011; 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.