Jennifer Casilla
Jennifer Casilla is a Nurse Practitioner in Mastic, New York. Qualified in 2019, 7 years ago. Practices with Samaritan Medical Services PC, a 336-clinician group and accepts Medicare assignment. Licensed in New York.
- Years since qualifying
- 7
- Licensed in
- NY
- In the registry since
- 2019
Practice location Address checks out
148 Burney BlvdMastic, NY 11950-1335
Phone: (631) 494-5966
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Health Nurse Practitioner (primary) | Taxonomy 363LA2200X · Licence F309348-01 (NY) |
|---|
Record details
| NPI number | 1679128904 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 4, 2019 |
| Last updated in NPPES | August 4, 2019 |
| Mailing address | 148 Burney Blvd, Mastic, NY 11950-1335 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Group practice | Samaritan Medical Services Pc — 336 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |