Jeniene Charmaine Lilly, LICENSED PRACTICAL N

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

095390-1 Issued in NY

Practice address

2505 Tilden Ave.
Suite 101
Brooklyn, NY 11226

Phone

(718) 941-4490

Fax

(718) 703-1716

NPI assigned

Nov 25, 2009

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Jacob Nursing & Healthcare Employment Services Agency, Inc.

  • Nursing Care Agency
  • Brooklyn, NY
  • NPI 1518035096
  NPD (past)

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

{
    "created_epoch": "1259107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259107200000",
    "number": "1982932240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "994 GRANT AVE (BETWEEN 164 & 165TH ST.)",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10456",
            "telephone_number": "718-537-3190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 TILDEN AVE.",
            "address_2": "SUITE 101",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11226",
            "telephone_number": "718-941-4490",
            "fax_number": "718-703-1716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILLY",
        "first_name": "JENIENE",
        "middle_name": "CHARMAINE",
        "name_prefix": "Ms.",
        "credential": "LICENSED PRACTICAL N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-25",
        "last_updated": "2009-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "095390-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sofia Lilinshtein, RPH
• Santosh Lillaney, DDS
• Katherine Ann Lilleskov, RN IBCLC
• Lillian Learning Inc
• Lillian Taliaferro-Best
• Meghan Allegra Lilly, MD
• Roy Carroll Lilly Jr., PHARM.D., R.PH.
• Michael Lilov
• Chaya Mushka Lilove
• Yehezkel Lilu, PH.D.

• All providers in Brooklyn, NY
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2009; 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.