Active NPIOrganization

Jill M Fetell

Family Medicine in Pomona, New York

NPI Number1518231463
Practice location
26 Firemens Memorial Dr, Suite 115, Pomona, NY 10970-3553
Fax
845-362-8474
Last updated
February 23, 2012

Jill M Fetell is a healthcare organization based in Pomona, NY. Jill M Fetell practices in Pomona, NY. The NPI Number for Jill M Fetell is 1518231463 and holds a License No. A145931-1 (NY). The current practice location address for Jill M Fetell is 26 Firemens Memorial Dr, Suite 115, Pomona, NY 10970-3553 and can be reached out via phone at 845-362-8400 and via fax at 845-362-8474.

Provider Profile Details

NPI Number
1518231463
Provider Name
Jill M Fetell
Provider Entity Type
Organization
Address
26 Firemens Memorial Dr, Suite 115, Pomona, NY 10970-3553
Phone Number
845-362-8400
Fax Number
845-362-8474
Primary Taxonomy
Family Medicine · 207Q00000X
Organization Subpart
No
Authorized Official
Jill M Fetell, MD · Owner · 845-362-8400
Provider Enumeration Date
February 23, 2012
Last Update Date
February 23, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
26 Firemens Memorial Dr
Suite 115
Pomona, NY 10970-3553
City
Pomona
Zip
10970-3553
Phone Number
845-362-8400
Fax Number
845-362-8474
Pomona, NY 10970Get directions →

Provider Business Mailing Address Details

Address
13-15 Neperan RD
Tarrytown, NY 10591-3446
City
Tarrytown
State
NY
Zip
10591-3446
Phone Number
914-631-7911

License Information

License Number
A145931-1
License State
NY
Taxonomy
Family Medicine · 207Q00000X · 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 M Fetell?

The NPI number of Jill M Fetell is 1518231463. It was assigned on February 23, 2012 and is currently active in the NPPES registry.

What is the specialty of Jill M Fetell?

Jill M Fetell is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NY under license number A145931-1.

Where does Jill M Fetell practice?

The practice location is 26 Firemens Memorial Dr, Suite 115, Pomona, NY 10970-3553. The office can be reached at 845-362-8400 (phone) or 845-362-8474 (fax).

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 1518231463 directly on the NPPES registry website.

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