| NPI | 1225197866 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2006-12-08 |
| Last Updated | 2021-01-14 |
| Mailing Address | 900 Merchants Concourse Ste 216 Westbury, NY 11590-5114 United States Phone: (516) 226-8373 | Fax: (844) 632-8265 📍 View Map |
| Primary Practice Address | 12 Medical Dr Port Jefferson Station, NY 11776-1588 United States Phone: (631) 331-4400 | Fax: (631) 331-3190 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | NY | 388956 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 363LW0102X – Nurse Practitioner, Women's Health | NY | 388956-1 |
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About NPI 1225197866
Jacqueline Pandolfi N.P. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1225197866. The primary specialty listed is Nurse Practitioner, Women's Health. The provider is located in Port Jefferson Station, NY. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-12-08. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1225197866?
NPI 1225197866 belongs to Jacqueline Pandolfi N.P., a Nurse Practitioner, Women's Health in Port Jefferson Station, NY. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1225197866 active?
The current status of NPI 1225197866 in the NPPES registry is Active. The record was last updated on 2021-01-14.
What specialty is NPI 1225197866?
NPI 1225197866 is classified under the taxonomy Nurse Practitioner, Women's Health. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1225197866?
You can verify NPI 1225197866 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1225197866?
The primary practice address on file for NPI 1225197866 is 12 Medical Dr, Port Jefferson Station, NY 11776-1588. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1225197866 issued?
NPI 1225197866 was first issued (enumerated) on 2006-12-08. The NPPES record was last updated on 2021-01-14.
Practice Location Map
Jacqueline Pandolfi is located at 12 Medical Dr, Port Jefferson Station, NY. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Jacqueline Pandolfi. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1225197866. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Nurse Practitioner, Women's Health | 388956-1 | NY |