JENNIFER CASILLA (NPI# 1679128904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679128904 |
| Entity Type | Individual |
| Full Name | JENNIFER CASILLA |
| Other Name | MRS. JENNIFER CASILLA |
| Practice Address |
148 Burney Blvd Mastic NY 11950-1335 |
| Practice Telephone | 6314945966 |
| Mailing Telephone | 6314945966 |
| Enumeration Date | 2019-08-04 |
| Last Update Date | 2019-08-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
F309348-01 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
148 BURNEY BLVD |
| City | MASTIC |
| State | NY |
| Zip Code | 11950-1335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508404054 | Ashley Arnold | Counselor | 1235 Montalk Highway, Mastic, NY 11950 | 2019-12-16 |
| 1457906935 | Creative Concepts Mental Health Counseling, PC | Counselor | 1360 Montauk Hwy 1st Floor East, Mastic, NY 11950 | 2019-08-02 |
| 1295242246 | Jamie Marie Lauro | Counselor | 37 Bedford Avenue, Mastic, NY 11950 | 2017-12-29 |
| 1932594025 | Elizabeth Liebson | Licensed Practical Nurse | 14 Logan Place, Mastic, NY 11950 | 2015-04-06 |
| 1659772341 | Lilianna Gul | Specialist | 12 Burney Blvd, Mastic, NY 11950 | 2014-09-12 |
| 1023423910 | Savannah Berliner | Nursing Home Administrator | 76 Franklin Ave, Mastic, NY 11950 | 2014-06-30 |
| 1104196013 | Ruth Ann Rainone | Registered Nurse | 170 Mastic Blvd, Mastic, NY 11950 | 2012-01-09 |
| 1174846489 | Amy Lynette Chaves | Licensed Practical Nurse | 158 Vanburen Street, Mastic, NY 11950 | 2010-03-02 |
| 1780805226 | Rosalye Diane Friedman | Social Worker | 1235 Montauk Highway, Mastic, NY 11950 | 2007-05-01 |
| 1063575066 | Walter E Haberstroh | Chiropractor | 1245 Montauk Hwy, Mastic, NY 11950 | 2006-12-19 |
| Find all providers in zip 11950 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427871 | Tammie Kae Copp | Nurse Practitioner | 8266 Casson Rd, Lindley, NY 14858-9697 | 2020-11-08 |
| 1770184673 | Annette Virosami | Nurse Practitioner | 890 Trinity Ave Apt 8d, Bronx, NY 10456-7419 | 2020-11-06 |
| 1972104958 | Jonathan Dillera Nietes | Nurse Practitioner | 4411 Macnish St Apt 1g, Elmhurst, NY 11373-3609 | 2020-11-05 |
| 1407457088 | Sanjana Kumari | Nurse Practitioner | 62 Albertson Pl, Mineola, NY 11501-4601 | 2020-11-02 |
| 1780284927 | Hannah Catan | Nurse Practitioner | 473 W 158th St Apt 10, New York, NY 10032-5361 | 2020-10-27 |
| 1700486248 | Amandeep Kaur | Nurse Practitioner | 7638 270th St, New Hyde Park, NY 11040-1418 | 2020-10-26 |
| 1861091324 | Stacey M Jantsch | Nurse Practitioner | 8237 Cicero Mills Rd, Cicero, NY 13039-8344 | 2020-10-25 |
| 1871192468 | Adult Health Np House Calls, PC | Nurse Practitioner | 7954 Transit Rd # 134, Williamsville, NY 14221-4117 | 2020-10-23 |
| 1104425891 | Tze-hsuan Chao | Nurse Practitioner | 3916 Prince St Ste 257, Flushing, NY 11354-5367 | 2020-10-22 |
| 1992304968 | Nicholas Robinson | Nurse Practitioner | 295 Essjay, Williamsville, NY 14221 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
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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.