Active NPI
Jayla Snider
- Specialist
- Cutchogue, NY
National Provider Identifier
1750767190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 295 Vista PL
Cutchogue, NY 11935 - Phone
- (631) 513-6701
- NPI assigned
- Aug 8, 2015
- Last updated
- Jun 28, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | NU | Primary |
Addresses
Primary practice location
295 Vista PL
Cutchogue, NY 11935
Mailing address
PO Box 1189
Mattituck, NY 11952-0921
Other names 1
- Ms. Jayla Wilhelm
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530144000000",
"number": "1750767190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1189",
"city": "MATTITUCK",
"state": "NY",
"postal_code": "119520921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "295 VISTA PL",
"city": "CUTCHOGUE",
"state": "NY",
"postal_code": "11935",
"telephone_number": "631-513-6701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNIDER",
"first_name": "JAYLA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-08",
"last_updated": "2018-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAYLA",
"last_name": "WILHELM",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Cutchogue, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.