Jill E Coccaro-Santos, FNP
Nurse Practitioner, Family in Cortlandt Manor, NY. Individual provider (NPI-1).
NPI number1124130802
StatusActive
Last updated in NPPESDec 10, 2014
Details
- NPI
- 1124130802
- Entity type
- Individual (NPI-1)
- Name
- Jill E Coccaro-Santos
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 31, 2006
- Last updated
- Dec 10, 2014
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | F338865-1 | NY | Yes |
| 225100000X | Physical Therapist | 030070 | NY |
Practice location
1978 Crompond RoadMount Kisco Medical Group PC
Cortlandt Manor, NY 10567
Phone 914-739-2121 · Fax 914-739-2185
Mailing address
3333 Henry Hudson PkwyApartment 20r
Bronx, NY 10463-3224
Phone 646-306-5544 · Fax 347-947-4579
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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