Individual provider Active NPI

Jake Diego Furnari

  • Behavior Analyst
  • Massapequa, NY
National Provider Identifier
1730997594
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
004007 Issued in NY
Practice address
4250 Sunrise Hwy Ste 106
Massapequa, NY 11758-5352
Phone
(516) 640-0798
NPI assigned
Dec 26, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 004007 NY Primary

Addresses

Primary practice location

4250 Sunrise Hwy Ste 106
Massapequa, NY 11758-5352

Mailing address

47 Wander LN
Wantagh, NY 11793-1302

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

LicenseStateTypeSpecialty
004007NYMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Denise Wright Licensed Behavior Analyst PLLC Behavior Analyst PastSince Dec 29, 2024 Accepting new patients

Organizations & group practices 1

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": "1735171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1730997594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 WANDER LN",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117931302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 SUNRISE HWY STE 106",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117585352",
            "telephone_number": "516-640-0798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FURNARI",
        "first_name": "JAKE",
        "middle_name": "DIEGO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-26",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "004007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massapequa, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; 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.