Individual provider Active NPI

Jennifer B. Ferraro, N.P.P.

  • Psychiatric/Mental Health Nurse Practitioner
  • Port Jefferson Station, NY
National Provider Identifier
1790983708
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F401071 Issued in NY
Practice address
1050 Hallock Ave
Port Jefferson Station, NY 11776-1214
Phone
(631) 300-6297
Fax
(631) 281-0427
NPI assigned
Jul 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F401071 NY Primary

Addresses

Primary practice location

1050 Hallock Ave
Port Jefferson Station, NY 11776-1214

Mailing address

11 Poncho Dr
Mastic, NY 11950-1409
Phone (631) 300-6297

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090506000217 NY Practitioner - Nurse Practitioner 9830247550 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F401071NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles (8 of 12)

OrganizationSpecialtyStatusNew patients
Coney Island Medical Practice Plan, P.C. CurrentSince Sep 6, 2016 Accepting new patients
Family Residences & Essential Enterprises, Inc. Current Accepting new patients
New York City Health and Hospitals Corporation Current Accepting new patients
Family Residences and Essential Enterprises, Inc. CurrentSince Dec 2, 2024 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Sep 11, 2025 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Sep 11, 2025 Accepting new patients
Family Service League, Inc. CurrentSince Jun 19, 2018 Accepting new patients
Physician Affiliate Group of New York PC CurrentSince Sep 19, 2024 Accepting new patients

Locations

2601 Ocean Pkwy
Rm 3N17
Brooklyn, NY 11235
Phone (718) 616-4554

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

594 Albany Ave
Brooklyn, NY 11203
Phone (646) 694-6680

55 Horizon Dr
Huntington, NY 11743
Phone (631) 396-2300

790 Park Ave
Huntington, NY 11743
Phone (631) 427-3700

8268 164th St
Jamaica, NY 11432
Phone (718) 883-2929

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

50 Water St
Fl 3
New York, NY 10004

405 Locust Ave
Oakdale, NY 11769
Phone (631) 567-3320

191 Bethpage Sweet Hollow Rd
Old Bethpage, NY 11804
Phone (516) 870-1665

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

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.

Hospital & facility affiliations 1

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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of New York at Stony Brook, School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Residences and Essential Enterprises Inc 8 clinicians
Physician Affiliate Group of New York PC 1,222 clinicians

Practice addresses (Care Compare)

191 Bethpage Sweet Hollow Rd
Old Bethpage, NY 11804-1342
Phone (516) 870-1600

2601 Ocean Pkwy
Brooklyn, NY 11235-7745
Phone (718) 616-5356

Hospital & facility affiliations

  • South Brooklyn Health Hospital, Brooklyn, NY, CCN 330196

NPI Registry JSON

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1790983708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 PONCHO DR",
            "city": "MASTIC",
            "state": "NY",
            "postal_code": "119501409",
            "telephone_number": "631-300-6297",
            "fax_number": "316-729-6675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 HALLOCK AVE",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117761214",
            "telephone_number": "631-300-6297",
            "fax_number": "631-281-0427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRARO",
        "first_name": "JENNIFER",
        "middle_name": "B.",
        "name_prefix": "Ms.",
        "credential": "N.P.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-11",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F401071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Jefferson Station, NY

Sources for this page

Verify at the official NPI Registry.