Active NPI
Jenna Fabozzi, NP
- Family Nurse Practitioner
- Albany, NY
National Provider Identifier
1942616552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F338838-1
- Practice address
- 7 Southwoods Blvd
Albany, NY 12211 - Phone
- (518) 292-6000
- Fax
- (518) 292-6050
- NPI assigned
- Jul 2, 2014
- Last updated
- Aug 22, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F338838-1 | NY | Primary |
Addresses
Primary practice location
7 Southwoods Blvd
Albany, NY 12211
Mailing address
7 Southwoods Blvd
Albany, NY 12211-2514
Phone (518) 292-6000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04015376 | Medicaid | NY | |
| 1034173 | Medicaid | VT | |
| 110148414A | Medicaid | MA |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2200 Burdett Ave
Suite 202
Troy, NY 12180-2451
Phone (518) 292-6200
315 S Manning Blvd
Albany, NY 12208-1707
Phone (518) 525-1550
47 New Scotland Ave
Albany, NY 12208-3412
Phone (518) 262-3125
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F338838-1 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Burdett Orthopedics, PC | Past | Accepting new patients | |
| Athletic Dynamics LLC | Past | Accepting new patients |
Interoperability endpoints
- jfabozzi19437@albanymed.direct-ci.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Cardiovascular Disease Physician
- Albany, NY
- NPI 1518952332
-
- Physical Therapy Clinic/Center
- Albany, NY
- NPI 1912966409
-
- Orthopaedic Surgery Physician
- Troy, NY
- NPI 1801816327
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Ambulatory Surgical Clinic/Center
- Niskayana, NY
- NPI 1154973071
Hospital
-
- General Acute Care Hospital
- Albany, NY
- NPI 1376577247
-
dba Albany Medical Center South Clinical Campus
- General Acute Care Hospital
- Albany, NY
- NPI 1811917461
-
- General Acute Care Hospital
- Troy, NY
- NPI 1043267727
-
- General Acute Care Hospital
- Albany, NY
- NPI 1497701106
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566432000000",
"number": "1942616552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 SOUTHWOODS BLVD",
"city": "ALBANY",
"state": "NY",
"postal_code": "122112514",
"telephone_number": "518-292-6000",
"fax_number": "518-292-6050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 SOUTHWOODS BLVD",
"city": "ALBANY",
"state": "NY",
"postal_code": "12211",
"telephone_number": "518-292-6000",
"fax_number": "518-292-6050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FABOZZI",
"first_name": "JENNA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-02",
"last_updated": "2019-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F338838-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04015376",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1034173",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110148414A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.