Active NPI
Jillian Waring
- Occupational Therapist
- New York, NY
National Provider Identifier
1689874703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 013456
- Practice address
- 104 W 29TH St FL 8
New York, NY 10001-5310 - Phone
- (212) 273-2500
- NPI assigned
- Jul 18, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 9240 | CA | |
| Occupational Therapist | 225X00000X | 013456 | NY | Primary |
| Occupational Therapist | 225X00000X | OT00004391 | WA |
Addresses
Primary practice location
104 W 29TH St FL 8
New York, NY 10001-5310
Mailing address
100 W 106TH St
Apt 4S
New York, NY 10025-3710
Phone (732) 740-7501
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200106203 | Medicaid | NY |
Other names 1
- Jillian Perrius
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
| License | State | Type | Specialty |
|---|---|---|---|
| OT00004391 | WA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jewish Home Lifecare Community Services | Past | Accepting new patients | |
| Jewish Home Lifecare, Manhattan | Past | 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.
-
dba The New Jewish Home, Home Care
- Home Health Agency
- Bronx, NY
- NPI 1780936948
-
dba Jewish Home Lifecare, Manhattan (Pharmacy)
- Long Term Care Pharmacy
- New York, NY
- NPI 1356434781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444694400000",
"number": "1689874703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 W 106TH ST",
"address_2": "APT 4S",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100253710",
"telephone_number": "732-740-7501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 W 29TH ST FL 8",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100015310",
"telephone_number": "212-273-2500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARING",
"first_name": "JILLIAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-18",
"last_updated": "2015-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "9240",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "013456",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "OT00004391",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200106203",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JILLIAN",
"last_name": "PERRIUS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.