Active NPIIndividual providerSole proprietor

Jill Fetell, MD

Internal Medicine in Pomona, New York

NPI Number1013072404
Practice location
26 Firemans Memorial Dr, Suite 115, Pomona, NY 10970-3553
Fax
—
Last updated
July 8, 2007

Jill Fetell is an Internal Medicine based in Pomona, NY. Jill Fetell practices in Pomona, NY and has the professional credentials of MD. The NPI Number for Jill Fetell is 1013072404 and holds a License No. 145931 (NY). The current practice location address for Jill Fetell is 26 Firemans Memorial Dr, Suite 115, Pomona, NY 10970-3553 and can be reached out via phone at 845-362-8400.

Provider Profile Details

NPI Number
1013072404
Provider Name
Jill Fetell
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
26 Firemans Memorial Dr, Suite 115, Pomona, NY 10970-3553
Phone Number
845-362-8400
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
Yes
Provider Enumeration Date
December 26, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
26 Firemans Memorial Dr
Suite 115
Pomona, NY 10970-3553
City
Pomona
Zip
10970-3553
Phone Number
845-362-8400
Pomona, NY 10970Get directions →

Provider Business Mailing Address Details

Address
26 Firemans Memorial Dr
Suite 115
Pomona, NY 10970-3553
City
Pomona
State
NY
Zip
10970-3553
Phone Number
845-362-8400

License Information

License Number
145931
License State
NY
Taxonomy
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jill Fetell, MD?

The NPI number of Jill Fetell, MD is 1013072404. It was assigned on December 26, 2006 and is currently active in the NPPES registry.

What is the specialty of Jill Fetell, MD?

Jill Fetell, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NY under license number 145931.

Where does Jill Fetell, MD practice?

The practice location is 26 Firemans Memorial Dr, Suite 115, Pomona, NY 10970-3553. The office can be reached at 845-362-8400 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013072404 directly on the NPPES registry website.

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