Active NPI
Jillian Lindsey Jones, CPNP-BC, RN
- Nurse Practitioner
- Fishkill, NY
National Provider Identifier
1770868630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- F382081
- Practice address
- Eriver Neurology of New York LLC
200 Westage Bus Ctr Dr., Sutie 324
Fishkill, NY 12524-2265 - Phone
- (845) 452-9750
- Fax
- (845) 452-9751
- NPI assigned
- Oct 11, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | F382081 | NY | |
| Nurse Practitioner | 363L00000X | F382081 | NY | Primary |
Addresses
Primary practice location
Eriver Neurology of New York LLC
200 Westage Bus Ctr Dr., Sutie 324
Fishkill, NY 12524-2265
Mailing address
Eriver Neurology of New York LLC
21 Fox Street, Suite 102
Poughkeepsie, NY 12601-4723
Phone (845) 452-9750
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03427254 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F382081 | NY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albany Medical College | Current | Accepting new patients | |
| Albany Medical College | Nurse Practitioner | Current | Accepting new patients |
| Albany Medical College | Nurse Practitioner | Current | Accepting new patients |
| Albany Medical College | Nurse Practitioner | Current | Accepting new patients |
| Albany Medical College | Current | Accepting new patients | |
| Nuvance Health Medical Practice PC | Nurse Practitioner | Past | Accepting new patients |
| PM Pediatrics of Mamaroneck | Past | Accepting new patients | |
| Jacklab, Inc | Past | Accepting new patients |
Locations
47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773
Interoperability endpoints
- jjones33841@albanymed.direct-ci.com
Organizations & group practices 8
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.
-
- Urgent Care Clinic/Center
- Albany, NY
- NPI 1386038925
-
- Physical Medicine & Rehabilitation Physician
- Albany, NY
- NPI 1629008537
-
- Neurological Surgery Physician
- Rhinebeck, NY
- NPI 1083161830
-
- Internal Medicine Physician
- Poughkeepsie, NY
- NPI 1437358033
Nurse Practitioner
-
- Urgent Care Clinic/Center
- Mamaroneck, NY
- NPI 1073645180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554768000000",
"number": "1770868630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ERIVER NEUROLOGY OF NEW YORK LLC",
"address_2": "21 FOX STREET, SUITE 102",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126014723",
"telephone_number": "845-452-9750",
"fax_number": "845-452-9751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ERIVER NEUROLOGY OF NEW YORK LLC",
"address_2": "200 WESTAGE BUS CTR DR., SUTIE 324",
"city": "FISHKILL",
"state": "NY",
"postal_code": "125242265",
"telephone_number": "845-452-9750",
"fax_number": "845-452-9751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "JILLIAN",
"middle_name": "LINDSEY",
"credential": "CPNP-BC, RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-11",
"last_updated": "2019-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NY",
"license": "F382081",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "F382081",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03427254",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fishkill, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.