DR. JILLIAN ROSE DONNELLY (NPI# 1881030245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881030245 |
| Entity Type | Individual |
| Full Name | DR. JILLIAN ROSE DONNELLY |
| Other Name | JILLIAN ROSE SCAMBIA |
| Credential | D.O. |
| Practice Address |
1 Mill River Ln Apt 105 Ardsley NY 10502 |
| Mailing Address |
Po Box 911057 Denver CO 80291-1057 |
| Practice Telephone | 9148799889 |
| Mailing Telephone | 8882697001 |
| Mailing Fax Number | 3037646640 |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2019-08-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 300483 | NY | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | DR.0061017 | CO | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1010 Three Springs Blvd Ste 270, Durango, CO 81301 | 9707643845 | 9707643823 |
| Street Address |
1 MILL RIVER LN APT 105 |
| City | ARDSLEY |
| State | NY |
| Zip Code | 10502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114338449 | Kevin Donnelly | Anesthesiology | 1 Mill River Ln Apt 105, Ardsley, NY 10502-1545 | 2014-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821620139 | Judith Tamara Moskowitz | Psychologist | 547 Saw Mill River Road, Suite 26, Ardsley, NY 10502 | 2020-02-05 |
| 1700303930 | John Bohl II | Specialist | 875 Saw Mill River Rd, Ardsley, NY 10502 | 2017-08-28 |
| 1457717506 | Kathleen Kelly Malone, Lcsw LLC | Social Worker | 1 Dell Lane, Ardsley, NY 10502 | 2016-01-05 |
| 1033465174 | Patricia A Petronella | Specialist | 1053 Sawmill River Rd., Hta of New York, Ardsley, NY 10502 | 2012-07-26 |
| 1730469578 | Mariya Kobi | Student in an Organized Health Care Education/Training Program | 6 Jordan Lane, Ardsley, NY 10502 | 2011-08-25 |
| 1447567300 | Nicole E Fernandes | Psychologist | 700 Ashford Avenue, Ardsley Middle School, Ardsley, NY 10502 | 2010-09-13 |
| 1720226541 | Jennifer Combs Lalor | Speech-Language Pathologist | 410 Saw Mill River Road, Suite 2050, Ardsley, NY 10502 | 2009-02-02 |
| 1548435985 | Adam Scott Weissman | Psychologist | 517 Almena Ave, Ardsley, NY 10502 | 2008-04-28 |
| 1235348095 | Carmen Muniz Cooper | Social Worker | 545 Saw Mill River Road, Suite 3a, Ardsley, NY 10502 | 2007-05-21 |
| 1871711531 | Thomas Arceri | Social Worker | 4 Eastern Drive, Ardsley, NY 10502 | 2007-04-20 |
| Find all providers in zip 10502 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639787955 | Alexandra Gavalo-yacco | Urology | 100 S Bedford Rd, Mount Kisco, NY 10549-3425 | 2020-07-22 |
| 1710503230 | Alan Hugh Bennett | Urology | 592 State Route 28, Raquette Lake, NY 13436-1907 | 2020-06-20 |
| 1518587294 | Nitin Sharma | Urology | 755 N Broadway Ste 510, Sleepy Hollow, NY 10591-1084 | 2020-04-22 |
| 1730714221 | Total Urology Office Based Surgery LLC | Urology | 7 W 51st St Ste 1&4, 8th Floor, New York, NY 10019-6910 | 2020-03-05 |
| 1588298053 | Lake Country Urology Pllc | Urology | 400 5th Avenue, Brooklyn, NY 11215-3337 | 2020-02-24 |
| 1639709561 | American Medical PC | Urology | 45 W 34th St Rm 901, New York, NY 10001-3145 | 2020-01-20 |
| 1659917243 | Hanan Goldberg | Urology | 1676 Sunset Ave Fl 2, Utica, NY 13502-5416 | 2019-11-19 |
| 1063065787 | Edward Ezrick, M.d., P.C. | Urology | 7210 13th Ave Fl 3, Brooklyn, NY 11228-2009 | 2019-07-22 |
| 1902464720 | Manzoor Ul Mahbub | Urology | 8268 164th St Rm P129, Jamaica, NY 11432-1121 | 2019-06-05 |
| 1548728058 | Jose Miguel Flores Martinez | Urology | 16 E 60th St Ste 402, New York, NY 10022-1096 | 2019-03-05 |
| 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.