Jill Marie Wegener, RN

Primary specialty

Pediatric Registered NurseTaxonomy code 163WP0200X

License

390175-1 Issued in NY

Practice address

292 Main St
Staten Island, NY 10307-1724

Phone

(718) 966-8543

NPI assigned

Jul 16, 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": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1972702447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "292 MAIN ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103071724",
            "telephone_number": "718-966-8543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "292 MAIN ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103071724",
            "telephone_number": "718-966-8543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEGENER",
        "first_name": "JILL",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-16",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "NY",
            "license": "390175-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02247950",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Natalia Wedel
• Elena Wee, MD
• Betty Ann Weeks, COTA/L
• Nathalie Joanne Weeks, L.M.S.W.
• Kushani Nadeesha Weerasinghe
• Chapman Wei, MD
• Deye Wei, M.D.
• Geoffrey Weiland, PH.D
• Jennifer Weile, MSED
• Anna Weinand

• Pediatric Registered Nurse in Staten Island, NY
• Providers in Staten Island, 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 Jul 16, 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.