Active NPI
Jeanna Masone, ANP
- Adult Health Nurse Practitioner
- East Patchogue, NY
National Provider Identifier
1659717387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- F306210-1
- Practice address
- 129 Evergreen LN
East Patchogue, NY 11772-5805 - Phone
- (631) 903-0150
- NPI assigned
- May 21, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | F306210-1 | NY | Primary |
Addresses
Primary practice location
129 Evergreen LN
East Patchogue, NY 11772-5805
Mailing address
100 Port Washington Boulevard
St. Francis Hospital
Roslyn, NY 11576-1348
Phone (516) 562-6000
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F306210-1 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Francis Hospital | Current | Accepting new patients | |
| CHS Physician Partners, P.C | Past | Accepting new patients | |
| St Francis Hospital United States Catholic Conference | Past | Accepting new patients |
Locations
100 Port Washington Blvd
Roslyn, NY 11576
Phone (516) 562-6385
540 Union Blvd
West Islip, NY 11795
Phone (631) 669-2555
Organizations & group practices 3
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.
-
dba St. Francis Hospitalists
- General Acute Care Hospital
- Roslyn, NY
- NPI 1760704811
-
- Cardiovascular Disease Physician
- Roslyn, NY
- NPI 1164585725
-
dba St Francis Ekg
- General Acute Care Hospital
- Roslyn, NY
- NPI 1750439030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369094400000",
"number": "1659717387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 PORT WASHINGTON BOULEVARD",
"address_2": "ST. FRANCIS HOSPITAL",
"city": "ROSLYN",
"state": "NY",
"postal_code": "115761348",
"telephone_number": "516-562-6000",
"fax_number": "516-562-6797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "129 EVERGREEN LN",
"city": "EAST PATCHOGUE",
"state": "NY",
"postal_code": "117725805",
"telephone_number": "631-903-0150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASONE",
"first_name": "JEANNA",
"name_prefix": "Ms.",
"credential": "ANP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-21",
"last_updated": "2013-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F306210-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Patchogue, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.