NPIMap

Individual provider Active NPI

Jessica M Ventimiglia, M.D.

  • Obstetrics & Gynecology Physician
  • Mineola, NY
National Provider Identifier
1740486372
Registry record updated Dec 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
238903 Issued in NY
Practice address
173 Mineola Blvd Ste 200
Mineola, NY 11501-2530
Phone
(516) 741-4321
Fax
(516) 741-8710
NPI assigned
Jun 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 238903 NY
Obstetrics Physician 207VX0000X 238903 NY
Obstetrics & Gynecology Physician 207V00000X 238903 NY Primary

Addresses

Primary practice location

173 Mineola Blvd Ste 200
Mineola, NY 11501-2530

Mailing address

900 Merchants Concourse Ste 216
Westbury, NY 11590-5114
Phone (516) 226-8373

Other practice location 1

1575 Hillside Ave
New Hyde Park, NY 11040-2521
Phone (516) 328-0022

Other practice location 2

175 Jericho Tpke
Syosset, NY 11791-4532
Phone (516) 364-8780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080520000787 NY Practitioner - Obstetrics/Gynecology 7416026141 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Albany Medical College of Union University, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Square Care Medical Group LLPGroup PAC ID 7012938434, 70 clinicians

Practice addresses (Care Compare)

173 Mineola Blvd
Suite 200
Mineola, NY 11501-2530
Phone (516) 741-4321

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.62 of 100Reported as group
Quality
88.76
Promoting interoperability
100
Improvement activities
40
Cost
69.99

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
238903NYMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Square Care Medical Group, LLP Obstetrics & Gynecology CurrentSince Dec 19, 2011 Accepting new patients

Locations

173 Mineola Blvd
Ste 200
Mineola, NY 11501
Phone (516) 741-4321

191 Herricks Rd
New Hyde Park, NY 11040
Phone (516) 248-0144

1575 Hillside Ave
North New Hyde Pk, NY 11040
Phone (516) 200-1835

175 Jericho Tpke
Ste 303
Syosset, NY 11791
Phone (516) 364-8780

175 Jericho Tpke
Syosset, NY 11791
Phone (516) 364-8780

175 Jericho Tpke
Ste 220
Syosset, NY 11791
Phone (516) 677-9279

900 Merchants Concourse
Ste 216
Westbury, NY 11590
Phone (516) 565-6322

79 Froehlich Farm Blvd
Woodbury, NY 11797
Phone (516) 496-3900

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15987/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jessica.ventimiglia.1@15987.direct.athenahealth.com

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.

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575331200000",
    "number": "1740486372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 MERCHANTS CONCOURSE STE 216",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115905114",
            "telephone_number": "516-226-8373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 MINEOLA BLVD STE 200",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115012530",
            "telephone_number": "516-741-4321",
            "fax_number": "516-741-8710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1575 Hillside Ave",
            "address_purpose": "LOCATION",
            "city": "New Hyde Park",
            "state": "NY",
            "postal_code": "110402521",
            "country_code": "US",
            "telephone_number": "516-328-0022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "175 Jericho Tpke",
            "address_purpose": "LOCATION",
            "city": "Syosset",
            "state": "NY",
            "postal_code": "117914532",
            "country_code": "US",
            "telephone_number": "516-364-8780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VENTIMIGLIA",
        "first_name": "JESSICA",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-21",
        "last_updated": "2019-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NY",
            "license": "238903",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "NY",
            "license": "238903",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "238903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineola, NY

Sources for this page

Verify at the official NPI Registry.