1023337680 NPI number — JILL SCHMITT

Table of content: JILL SCHMITT (NPI 1023337680)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1023337680 NPI number — JILL SCHMITT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SCHMITT
Provider First Name:
JILL
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1023337680
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/21/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 31094
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HARTFORD
Provider Business Mailing Address State Name:
CT
Provider Business Mailing Address Postal Code:
06150-1094
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
518-952-8140
Provider Business Mailing Address Fax Number:
518-952-8287

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1075 BROADWAY
Provider Second Line Business Practice Location Address:
1ST FLOOR ROOMS 250A AND 258
Provider Business Practice Location Address City Name:
PLEASANTVILLE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10570-2346
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-773-6940
Provider Business Practice Location Address Fax Number:
914-769-8505
Provider Enumeration Date:
05/21/2010

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YA0400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 01420795 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com