Individual provider Active NPI

Jeanne Dos Santos, FNP

  • Nurse Practitioner
  • Sleepy Hollow, NY
National Provider Identifier
1962506105
Registry record updated Mar 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
334284 Issued in NY
Practice address
755 N Broadway
Suite 400
Sleepy Hollow, NY 10591-1075
Phone
(914) 366-3400
Fax
(914) 366-3407
NPI assigned
Sep 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 334284 NY Primary

Addresses

Primary practice location

755 N Broadway
Suite 400
Sleepy Hollow, NY 10591-1075

Mailing address

22 Saw Mill River Rd
2ND Floor
Hawthorne, NY 10532-1533
Phone (914) 593-1659

Other names 1

  • Mrs. Jeanne Dos Santos Marinho Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140424001102 NY Practitioner - Nurse Practitioner 2264665439 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boston Children's Health Physicians LLPGroup PAC ID 8325937014, 80 clinicians

Practice addresses (Care Compare)

19 Bradhurst Ave
Hawthorne, NY 10532-2140
Phone (914) 493-7235

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Childrens Health Physicians LLP CurrentSince Jan 1, 2014 Accepting new patients
Boston Children's Health Physicians, LLP CurrentSince Jan 1, 2014 Accepting new patients

Locations

1 S Greeley Ave
Ste 303
Chappaqua, NY 10514
Phone (914) 238-0801

22 Saw Mill River Rd
Ste 2
Hawthorne, NY 10532
Phone (914) 593-1606

19 Bradhurst Ave
Hawthorne, NY 10532
Phone (914) 493-7235

755 N Broadway
Ste 400
Sleepy Hollow, NY 10591
Phone (914) 366-3400

755 N Broadway
Sleepy Hollow, NY 10591
Phone (914) 302-0100

Networks

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

Interoperability endpoints

  • Direct secure messaging: jeanne.dossantos.p1@direct.cwpw.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363824000000",
    "number": "1962506105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 SAW MILL RIVER RD",
            "address_2": "2ND FLOOR",
            "city": "HAWTHORNE",
            "state": "NY",
            "postal_code": "105321533",
            "telephone_number": "914-593-1659",
            "fax_number": "914-593-1790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 N BROADWAY",
            "address_2": "SUITE 400",
            "city": "SLEEPY HOLLOW",
            "state": "NY",
            "postal_code": "105911075",
            "telephone_number": "914-366-3400",
            "fax_number": "914-366-3407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOS SANTOS",
        "first_name": "JEANNE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-08",
        "last_updated": "2013-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "334284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANNE",
            "last_name": "MARINHO",
            "middle_name": "DOS SANTOS",
            "prefix": "MRS.",
            "credential": "FNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sleepy Hollow, NY

Sources for this page

Verify at the official NPI Registry.