JENNIFER MCCORMAC


Address: 240 Meeting House Ln, Southampton, NY 11968-5009
Phone: 6317263300

JENNIFER MCCORMAC (NPI# 1043793839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043793839
Entity Type Individual
Full Name JENNIFER MCCORMAC
Practice Address 240 Meeting House Ln
Southampton
NY 11968-5009
Mailing Address 14 Folkstone Dr
East Hampton
NY 11937-1213
Practice Telephone 6317263300
Practice Fax Number 6317263298
Mailing Telephone 6319462558
Enumeration Date 2018-09-08
Last Update Date 2018-09-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WW0000X Registered Nurse
Specialization: Wound Care
632605-1 NY Nursing Service Providers
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
F308845-1 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 240 MEETING HOUSE LN
City SOUTHAMPTON
State NY
Zip Code 11968-5009

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063419588 Jessica Rawson Swiatocha Registered Nurse 240 Meeting House Ln, Southampton, NY 11968-5009 2005-06-30
1700484227 Michele Scannell Speech-Language Pathologist 240 Meeting House Ln, Southampton, NY 11968-5009 2020-10-16
1902411622 Lucie Lavelle Student in an Organized Health Care Education/Training Program 240 Meeting House Ln, Southampton, NY 11968-5009 2020-09-10
1609488436 Danielle Vigliarolo Student in an Organized Health Care Education/Training Program 240 Meeting House Ln, Southampton, NY 11968-5009 2020-08-21
1285251330 Christine Barry Speech-Language Pathologist 240 Meeting House Ln, Southampton, NY 11968-5009 2020-07-05
1174152425 Ifesinachi C. Nnaji Student in an Organized Health Care Education/Training Program 240 Meeting House Ln, Southampton, NY 11968-5009 2020-04-07
1063041572 Elnaz Mahbub Student in an Organized Health Care Education/Training Program 240 Meeting House Ln, Southampton, NY 11968-5009 2020-04-06
1801425301 Faiz F Kabbinavar Student in an Organized Health Care Education/Training Program 240 Meeting House Ln, Southampton, NY 11968-5009 2020-04-06
1891324877 Garry Gurbir Lachhar Student in an Organized Health Care Education/Training Program 240 Meeting House Ln, Southampton, NY 11968-5009 2020-04-02
1396373684 Nathaniel Kheysin Student in an Organized Health Care Education/Training Program 240 Meeting House Ln, Southampton, NY 11968-5009 2020-03-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992333553 Adam Spinner Student in an Organized Health Care Education/Training Program Stony Brook Southampton General Surgery, 240 Meeting House Lane, Southampton, NY 11968 2020-03-30
1538725205 Blossom Counseling Services Clinic/Center 225 Old Point Rd, Southampton, NY 11968 2019-05-17
1386184679 Oscar F. Mandes Social Worker 57 Hampton Road, Suite 201, Southampton, NY 11968 2017-03-06
1346780046 Jacqueline Chantal Rosante Physician Assistant Meeting House Lane Medical Practice, PC Surgical Spec., 240, Southampton, NY 11968 2017-02-28
1316377260 Empire Osteopathy LLC Neuromusculoskeletal Medicine & OMM 332a Canoe Place Road, Southampton, NY 11968 2013-11-13
1619225984 Elizabeth Hope Piselli Podiatrist 365 County Road 39a Unit 9, Southampton, NY 11968 2012-08-16
1902164965 University Hospital At Stony Brook Clinic/Center Church Street, Southampton, NY 11968 2012-04-27
1588933170 Lindsey Dargan Speech-Language Pathologist 141 Narrow Lane, Southampton, NY 11968 2011-12-28
1013249069 Justina Savarese Speech-Language Pathologist 168 Hill Street, Southampton, NY 11968 2010-02-02
1164541918 Maria Radu Dentist 39 Inlet Rd East, Southampton, NY 11968 2007-03-29
Find all providers in zip 11968

Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558642132 Iwona Katarzyna Gotowicka Nurse Practitioner 250 N Sea Mecox Rd, Southampton, NY 11968-2807 2011-09-08
1558649244 Mary Ellen Schaefer Nurse Practitioner 4 Millstone Dr, Southampton, NY 11968-5613 2011-07-28
1386630317 Patricia Blanche Morrison-sasso Nurse Practitioner 335b Meeting House Ln, Southampton, NY 11968-5051 2005-09-26
1730185521 Thomas James Loveless Nurse Practitioner 729 Grove Avenue, Suite 4, Southampton, PA 18966-6008 2005-06-26
1174029987 Ana Nonneth Espiritu Guiang Nurse Practitioner 240 Meeting House Ln, Southampton, NY 11968-5009 2018-04-02
1811498470 Francesca Mendola Nurse Practitioner 240 Meeting House Ln, Southampton, NY 11968-5009 2018-02-27
1508378084 Lisa Snelling Nurse Practitioner 240 Meeting House Ln, Southampton, NY 11968-5009 2017-10-24
1851800734 Regina Mary Lynch Nurse Practitioner 240 Meeting House Ln, Southampton, NY 11968-5009 2017-09-24
1184165243 Diana Ryan Nurse Practitioner 1844 Street Rd, Southampton, PA 18966-4582 2017-03-09
1598217101 Agnieszka Brynda Nurse Practitioner 240 Meeting House Ln, Southampton, NY 11968-5009 2016-10-30
Find all providers in SOUTHAMPTON

Competitor

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City SOUTHAMPTON
Zip Code 11968

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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