DR. DONNA J.C. FANELLI DNP NPI 1750362679

NPI Information

NPI: 1750362679
Provider Name: DR. DONNA J.C. FANELLI, DNP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
120 PARK AVE
LOWER LEVEL C
NEW YORK, NY
ZIP 10017
Phone: (646) 324-9461
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DR. Donna J.c. Fanelli, DNP is an adult health nurse practitioner in New York, NY. DR. Donna J.c. Fanelli, DNP NPI is 1750362679. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

120 PARK AVE
LOWER LEVEL C
NEW YORK, NY
ZIP 10017-577
Phone: (646) 324-9461
Fax: (646) 324-1020

The NPI 1750362679 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/8/2005 and was last updated on 12/2/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2100X	Nurse Practitioner	Acute Care	26NN06605500	NEW JERSEY	No
2	363LA2100X	Nurse Practitioner	Acute Care	F430118-1	NEW YORK	No
3	363LA2200X	Nurse Practitioner	Adult Health	26NN06605500	NEW JERSEY	No
4	363LA2200X	Nurse Practitioner	Adult Health	F303208-1	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	123	OTHER	NEW JERSEY	CIGNA
2	0067199	MEDICAID	NEW JERSEY
3	3598174	OTHER	NEW JERSEY	OXFORD
4	2K9125	OTHER	NEW JERSEY	HEALTH NET
5	286989	OTHER	NEW JERSEY	AMERIGROUP
6	2517320	OTHER	NEW JERSEY	UNITED HEALTHCARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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