Jane M Connelly, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F332765 Issued in NY

Practice address

362 N Broadway FL 2
Sleepy Hollow, NY 10591-2310

Phone

(914) 631-2070

Fax

(914) 631-0797

NPI assigned

Apr 10, 2007

Last updated

Dec 7, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: janeconnelly@nslijmedgr.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• North Shore-Lij Medical PC

  dba NHPP Cardiology at Great Neck

  • Urology Physician
  • Great Neck, NY
  • NPI 1053688572
  Medicare reassignment

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291680000000",
    "number": "1912120072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "362 N BROADWAY FL 2",
            "city": "SLEEPY HOLLOW",
            "state": "NY",
            "postal_code": "105912310",
            "telephone_number": "914-631-2070",
            "fax_number": "914-631-0797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "362 N BROADWAY FL 2",
            "city": "SLEEPY HOLLOW",
            "state": "NY",
            "postal_code": "105912310",
            "telephone_number": "914-631-2070",
            "fax_number": "914-631-0797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNELLY",
        "first_name": "JANE",
        "middle_name": "M",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2010-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F332765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alfred J Coco, MS, LMHC, NCC
• Armond Collins, MD
• Rebecca Collins, DO
• Sarah Lee Colon
• Jessica Comparetto, M.A. CCC-A
• Danya Contreras
• Christina Cortez Ronco, P.T
• Teresa Marie Cowell, FNP
• Critical Care Medical Management Associates PLLC
• Matthew Cullen, M.D.

• Family Nurse Practitioner in Sleepy Hollow, NY
• Providers in Sleepy Hollow, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2010; 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.

Verify at the official NPI Registry.