Individual provider Active NPI

Rachael Green Bilello, DO

  • Pediatrics Physician
  • Jericho, NY
National Provider Identifier
1861656837
Registry record updated Jul 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
247401 Issued in NY
Practice address
380 N Broadway
Jericho, NY 11753
Phone
(866) 621-2769
NPI assigned
Jul 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 247401 NY Primary

Addresses

Primary practice location

380 N Broadway
Jericho, NY 11753

Mailing address

380 N Broadway Ste L2
Jericho, NY 11753-2109
Phone (516) 931-1776

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
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
247401NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Happy & Healthy Pediatrics PC Past Accepting new patients
Allied Physicians Group, PLLC Pediatrics Past Accepting new patients
Icahn School of Medicine at Mount Sinai Pediatrics Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532390400000",
    "number": "1861656837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 N BROADWAY STE L2",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117532109",
            "telephone_number": "516-931-1776",
            "fax_number": "516-942-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 N BROADWAY",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "11753",
            "telephone_number": "866-621-2769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILELLO",
        "first_name": "RACHAEL",
        "middle_name": "GREEN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-17",
        "last_updated": "2018-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "247401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jericho, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.

Verify at the official NPI Registry.