Jill Beth Talcovitz, R.N.

Primary specialty

Pediatric Registered NurseTaxonomy code 163WP0200X

License

491468-1 Issued in NY

Practice address

11 Aunt Pattys LN
Mahopac, NY 10541-4407

Phone

(845) 621-8655

Fax

(845) 621-0380

NPI assigned

Sep 6, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189036800000",
    "number": "1942495593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 AUNT PATTYS LN",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "105414407",
            "telephone_number": "845-621-8655",
            "fax_number": "845-621-0380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 AUNT PATTYS LN",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "105414407",
            "telephone_number": "845-621-8655",
            "fax_number": "845-621-0380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALCOVITZ",
        "first_name": "JILL",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-06",
        "last_updated": "2007-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "NY",
            "license": "491468-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02534187",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacey Smith
• Valerie Smith, RN
• John D Stevens Jr., DDS
• Dorothy Swarm, RN
• Breanna Marie Syslo
• Nisha Taneja, PHARMD
• Fidencio Carlos Arciaga Tani
• Laura Tarantino
• Imani Nicole Thomas, M.A CF-SLP
• Nithya Jose Thomas

• Pediatric Registered Nurse in Mahopac, NY
• Providers in Mahopac, NY by specialty
• Pediatric Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; 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.