JILL M FETELL (NPI# 1518231463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518231463 |
| Entity Type | Organization |
| Organization Name | JILL M FETELL |
| Practice Address |
26 Firemens Memorial Dr Suite 115 Pomona NY 10970-3553 |
| Mailing Address |
13-15 Neperan Rd Tarrytown NY 10591-3446 |
| Practice Telephone | 8453628400 |
| Practice Fax Number | 8453628474 |
| Mailing Telephone | 9146317911 |
| Enumeration Date | 2012-02-23 |
| Last Update Date | 2012-02-23 |
| Authorized Official Name | JILL M FETELL (OWNER) |
| Authorized Official Telephone | 8453628400 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A145931-1 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
26 FIREMENS MEMORIAL DR SUITE 115 |
| City | POMONA |
| State | NY |
| Zip Code | 10970-3553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801875844 | Deborah Occhiogrosso | Nurse Practitioner | 26 Firemens Memorial Dr, Suite 215, Pomona, NY 10970-3553 | 2006-01-10 |
| 1487007571 | Brian Lee Fitzpatrick | Internal Medicine | 26 Firemens Memorial Dr, Pomona, NY 10970-3553 | 2016-07-13 |
| 1457778391 | Christine Miller | Physical Therapist | 26 Firemens Memorial Dr, Suite 115, Pomona, NY 10970-3553 | 2014-03-27 |
| 1194147504 | Ethan Burger | Physical Therapist | 26 Firemens Memorial Dr, Suite 115, Pomona, NY 10970-3553 | 2014-01-21 |
| 1831451244 | Pomona Ob Gyn PC | Obstetrics & Gynecology | 26 Firemens Memorial Dr, Suite 120b, Pomona, NY 10970-3553 | 2012-06-12 |
| 1902103534 | Amazing Acupuncture,llc | Acupuncturist | 26 Firemens Memorial Dr, Suite 115, Pomona, NY 10970-3553 | 2011-02-17 |
| 1750432787 | Maya Gluck-shats | Internal Medicine | 26 Firemens Memorial Dr, Ste 215, Pomona, NY 10970-3553 | 2007-01-16 |
| 1144318981 | Comprehensive Obstetrics & Gynecology P C | Obstetrics & Gynecology | 26 Firemens Memorial Dr, Suite 120, Pomona, NY 10970-3553 | 2006-10-10 |
| 1417979717 | Stephen M Koretsky | Psychologist | 26 Firemens Memorial Dr, Suite 113, Pomona, NY 10970-3553 | 2006-07-24 |
| 1598791568 | Judith Stavis | Obstetrics & Gynecology | 26 Firemens Memorial Dr, Suite 120, Pomona, NY 10970-3553 | 2006-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801429857 | Adina Meira Shapiro | Occupational Therapist | 7 Gessner Terrace, Pomona, NY 10970 | 2020-02-18 |
| 1619339363 | Summit Park At Friedwald Care, LLC | Skilled Nursing Facility | 50 Sanitorium Rd, Bldg A, 3rd Floor, Pomona, NY 10970 | 2016-03-22 |
| 1215351093 | Nicole Lupo | Licensed Practical Nurse | 4 Leadore Lane, Pomona, NY 10970 | 2014-02-13 |
| 1043659519 | Jyotika Agochiya | Obstetrics & Gynecology | 974 Route 45 Suite 1000, Ramapo Valley Obgyn, Pomona, NY 10970 | 2013-06-18 |
| 1366794323 | Shanice John | Counselor | 1 Marcia Ln, Pomona, NY 10970 | 2012-10-15 |
| 1023364817 | Eleanor Chalew Joseph | Registered Nurse | 50 Sanatorium Road Bldg. D, Robert L. Yeager Health Center, Pomona, NY 10970 | 2012-07-30 |
| 1689942153 | Kewanna D Frazier | Occupational Therapy Assistant | 229 Route 202, Apt. 3h, Pomona, NY 10970 | 2011-12-12 |
| 1134419823 | Carlos G. Lobo | Pediatrics | 27 S Camphill Road, Pomona, NY 10970 | 2011-04-14 |
| 1679804884 | Betina Turnier | Registered Nurse | 2 Valley Viw Court, Pomona, NY 10970 | 2010-01-28 |
| 1376792465 | Max F Rast | Surgery | 15 White Birch Drive, Pomona, NY 10970 | 2008-09-12 |
| Find all providers in zip 10970 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902436827 | Vladimir Zev Zelenko Md PC. | Family Medicine | 1540 Route 202 Ste 7, Pomona, NY 10970-2922 | 2020-01-20 |
| 1720514185 | Irene Riley Sung | Family Medicine | 1770 N Orange Grove Ave Ste 201, Pomona, CA 91767-3027 | 2017-05-04 |
| 1205210531 | Emelia Oduro Jeffrey | Family Medicine | 1532 San Bernardino Ave Ste A2, Pomona, CA 91767-3559 | 2015-07-16 |
| 1689057960 | David Picella Phd Inc | Family Medicine | 1617 N Garey Ave, Pomona, CA 91767 | 2015-07-03 |
| 1487075578 | Fenix Health Medical Group, Inc. | Family Medicine | 716 East Mission Blvd., Pomona, CA 91766 | 2013-12-17 |
| 1699119511 | Danica Kari Lomeli | Family Medicine | 1770 N Orange Grove Ave Ste 101, Pomona, CA 91767 | 2013-04-22 |
| 1073814760 | Felix Lin | Family Medicine | 8 Village Loop Rd Ste D, Pmb 117, Pomona, CA 91766-4870 | 2010-11-11 |
| 1205017035 | Tuan Dai Le, M.d, A Professional Corporation | Family Medicine | 1151 E Holt Ave, Suite Q, Pomona, CA 91767-5813 | 2007-11-20 |
| 1023297934 | Katty Chou | Family Medicine | 3801 W Temple Ave Bldg 46, Pomona, CA 91768-2557 | 2007-10-26 |
| 1013114420 | Wilbert Timothy Tsai | Family Medicine | 1900 Royalty Dr Ste 250, Pomona, CA 91767-3043 | 2007-06-29 |
| Find all providers in POMONA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.