Jennifer Erin Bross

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

102 Bucknell Rd
West Sayville, NY 11796

Phone

(516) 319-1781

NPI assigned

Jul 30, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534464000000",
    "number": "1699253088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 BUCKNELL RD",
            "city": "WEST SAYVILLE",
            "state": "NY",
            "postal_code": "117961005",
            "telephone_number": "631-256-6079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 BUCKNELL RD",
            "city": "WEST SAYVILLE",
            "state": "NY",
            "postal_code": "11796",
            "telephone_number": "516-319-1781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROSS",
        "first_name": "JENNIFER",
        "middle_name": "ERIN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-30",
        "last_updated": "2018-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Salvatore Bellafiore, ED.D, MS, BS
• Shannon Bree Bellittieri
• Annmarie Beta
• Jacqueline Bill
• Edward William Brogan, LCSW
• Stephen M Burke, M.D.
• Shannon Cameron
• CHS Physician Partners, P.C
• Jessica Connolly
• Kristen Connor

• Specialist in West Sayville, NY
• Providers in West Sayville, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.