Active NPI
Jacqueline Famiglietti, CRNA
- Certified Registered Nurse Anesthetist
- New Hyde Park, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 578359
- Practice address
- 27005 76TH Ave Dept of
New Hyde Park, NY 11040-1402 - Phone
- (718) 479-7390
- NPI assigned
- Aug 14, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 578359-1 | NY | |
| Certified Registered Nurse Anesthetist | 367500000X | 578359 | NY | Primary |
Addresses
Primary practice location
27005 76TH Ave Dept of
New Hyde Park, NY 11040-1402
Mailing address
68 S Service Rd Ste 350
Melville, NY 11747-2358
Phone (516) 945-3000
Other practice location 1
75 North Country Road
Port Jefferson, NY 11778
Phone (631) 473-1320
Other practice location 2
75 North Country Road
Port Jefferson, NY 11778
Phone (631) 473-1320
Other names 1
- Ms. Jacqueline Maresca
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Port Washington Blvd
Roslyn, NY 11576-1347
Phone (516) 627-6624
27005 75TH Ave
New Hyde Park, NY 11040-1402
Phone (718) 470-7000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.24 of 100
- Quality
- 98.74
- Improvement activities
- 40
- Cost
- 83.11
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 578359 | NY | MD | Certified Registered Nurse Anesthetist |
| 578359-1 | NY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York Cardiovascular Anesthesiologists, P.C. | Current | Accepting new patients | |
| North Shore - Lij Anesthesiology, PC | Current | Accepting new patients | |
| North American Partners in Anesthesia LLP | Current | Accepting new patients | |
| Long Island Anesthesia Physicians LLP | Current | Accepting new patients |
Locations
3122 Union St
Ste 1B
Flushing, NY 11354
Phone (718) 968-7171
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
195 E Main St
Huntington, NY 11743
Phone (631) 385-8677
68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107
1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341
27005 76th Ave
North New Hyde Pk, NY 11040
200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000
100 Port Washington Blvd
Roslyn, NY 11576
Phone (516) 562-6385
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Roslyn, NY
- NPI 1801834411
-
- Anesthesiology Physician
- Chappaqua, NY
- NPI 1417401266
-
- Anesthesiology Physician
- Rocky Point, NY
- NPI 1952387276
-
- Anesthesiology Physician
- Melville, NY
- NPI 1649264706
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Hyde Park, NY
- NPI 1285641514
-
- General Acute Care Hospital
- Roslyn, NY
- NPI 1043279565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1770830317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "68 S SERVICE RD STE 350",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117472358",
"telephone_number": "516-945-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27005 76TH AVE DEPT OF",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110401402",
"telephone_number": "718-479-7390"
}
],
"practiceLocations": [
{
"address_1": "75 North Country Road",
"address_purpose": "LOCATION",
"city": "Port Jefferson",
"state": "NY",
"postal_code": "11778",
"country_code": "US",
"telephone_number": "631-473-1320",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "75 North Country Road",
"address_purpose": "LOCATION",
"city": "Port Jefferson",
"state": "NY",
"postal_code": "11778",
"country_code": "US",
"telephone_number": "631-473-1320",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FAMIGLIETTI",
"first_name": "JACQUELINE",
"name_prefix": "Mrs.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-14",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NY",
"license": "578359-1",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NY",
"license": "578359",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JACQUELINE",
"last_name": "MARESCA",
"prefix": "MS.",
"credential": "C.R.N.A.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in New Hyde Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.