Jillian Arevalo, NURSE PRACTITIONER

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

349408 Issued in NY

Practice address

31 Merrick Ave Ste 10
Merrick, NY 11566-3406

Phone

(516) 771-9797

NPI assigned

Apr 7, 2022

Last updated

Apr 7, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Practice roles

Locations

Networks

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

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.

• Harmony Health Care Long Island

  • Federally Qualified Health Center (FQHC)
  • Elmont, NY
  • NPI 1336669670
  Medicare reassignment NPD
• Sayville Medical and Rehab PC

  • Physical Medicine & Rehabilitation Physician
  • Sayville, NY
  • NPI 1134659386
  Medicare reassignment NPD
• Smithtown Family Health NP PC

  • Family Nurse Practitioner
  • Smithtown, NY
  • NPI 1215560776
  Medicare reassignment NPD
• Harmony Health Care Long Island

  • Federally Qualified Health Center (FQHC)
  • North Baldwin, NY
  • NPI 1205704319
  NPD
• Harmony Health Care Long Island

  • Federally Qualified Health Center (FQHC)
  • Westbury, NY
  • NPI 1215241302
  NPD
• Renee Messina, DO, PC

  • Primary Care Clinic/Center
  • Bellmore, NY
  • NPI 1225262173
  NPD
• Riverhead Medical & Rehabilitation PC

  • Physical Medicine & Rehabilitation Physician
  • Massapequa, NY
  • NPI 1912519455
  NPD
• Setauket Medical & Rehabilitation PC

  dba Thrive Medical of Setauket

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • East Setauket, NY
  • NPI 1811509409
  NPD
• Westhampton Medical & Rehabilitation PC

  • Physical Medicine & Rehabilitation Physician
  • Westhampton Beach, NY
  • NPI 1013529551
  NPD
• Elmont Community Health Center

  • Clinic/Center
  • Elmont, NY
  • NPI 1467478362
  NPD (past)
• VP Medical, PC

  • Internal Medicine Physician
  • Smithtown, NY
  • NPI 1225381239
  NPD (past)

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

{
    "created_epoch": "1649289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1912649245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 PRESTON ST",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110503525",
            "telephone_number": "516-423-2749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 MERRICK AVE STE 10",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115663406",
            "telephone_number": "516-771-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AREVALO",
        "first_name": "JILLIAN",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-07",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "349408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Antoniazzi, LCSW-R
• Zain Anwar, PHARMD
• Maria Desiree Aparicio, RPH
• Risa Beth Applebaum, M.S.
• Karl Anthony Arabian, DPT
• Christopher John Arma, D.C.
• Patrice Festa Armstrong, RN
• Frederick S Arredondo, MD
• Arthur I. Sekuler, D.D.S. and James M. Hensley, D.D.S., P.L.L.C.
• Bradley Dale Atlas, PH. D.

• Nurse Practitioner in Merrick, NY
• Providers in Merrick, NY by specialty
• Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; 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.