Jill Butter-Romano

Key facts

NPI

1831452333

Entity type

Individual (NPI type 1)

Primary specialty

Specialist 174400000X

License

3236 (NY)

Practice address

804 Caryl St
Franklin Square, NY 11010-3321

Phone

(516) 993-2886

NPI assigned

Jun 19, 2012

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 19, 2012.

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340064000000",
    "number": "1831452333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 CARYL ST",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "110103321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 CARYL ST",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "110103321",
            "telephone_number": "516-993-2886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTTER-ROMANO",
        "first_name": "JILL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-19",
        "last_updated": "2012-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "3236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECIAL EDUCAT",
            "identifier": "3236",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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