Individual provider Active NPI

Jose Pablo Febrillet, R-PA

  • Physician Assistant
  • New York, NY
National Provider Identifier
1659502235
Registry record updated Nov 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
013287-1 Issued in NY
Practice address
3410 Broadway
New York, NY 10031-7400
Phone
(201) 299-4758
NPI assigned
Jul 31, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 013287-1 NY Primary

Addresses

Primary practice location

3410 Broadway
New York, NY 10031-7400

Mailing address

185 Briggs Ave
Yonkers, NY 10701-5640
Phone (917) 837-4210

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231020002921 NY Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 9537381363

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
013287-1NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Yonkers General Medical Practice,PC PastSince Apr 15, 2014 Accepting new patients
Northern General Medical Practice, P.C. PastSince Mar 29, 2020 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GJFFCA

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": "1248998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321574400000",
    "number": "1659502235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 BRIGGS AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107015640",
            "telephone_number": "917-837-4210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100317400",
            "telephone_number": "201-299-4758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEBRILLET",
        "first_name": "JOSE",
        "middle_name": "PABLO",
        "credential": "R-PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-31",
        "last_updated": "2011-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "013287-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.