MS. JACQUELINE PANDOLFI


Address: 807 S Oyster Bay Rd, Bethpage, NY 11714-1030
Phone: 5168220028

MS. JACQUELINE PANDOLFI (NPI# 1225197866) 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) 1225197866
Entity Type Individual
Full Name MS. JACQUELINE PANDOLFI
Credential N.P.
Practice Address 807 S Oyster Bay Rd
Bethpage
NY 11714-1030
Mailing Address 316 Pond Path
Setauket
NY 11733-1006
Practice Telephone 5168220028
Practice Fax Number 5163422480
Mailing Telephone 5168220028
Mailing Fax Number 5163422480
Enumeration Date 2006-12-08
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LW0102X Nurse Practitioner
Specialization: Women's Health
388956-1 NY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 388956 05

Office Location

Street Address 807 S OYSTER BAY RD
City BETHPAGE
State NY
Zip Code 11714-1030

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740227362 Andrea Gray-pincus Social Worker 807 S Oyster Bay Rd, Bethpage, NY 11714-1030 2006-06-01
1417482159 Nassau Suffolk Medical Care, P.C. Home Health 807 S Oyster Bay Rd, Bethpage, NY 11714-1030 2017-05-01
1427353986 Kara S Perlmutter Occupational Therapist 807 S Oyster Bay Rd, Bethpage, NY 11714-1030 2011-01-13
1265674303 Adults and Children With Learning and Developmental Disabilites, Inc. Clinic/Center 807 S Oyster Bay Rd, Health Services, Art 16, Bethpage, NY 11714-1030 2009-04-06
1619154598 Irene Reilly Social Worker 807 S Oyster Bay Rd, Bethpage, NY 11714-1030 2008-01-23
1326227299 Fatimah Latimer-murphy Occupational Therapist 807 S Oyster Bay Rd, Bethpage, NY 11714-1030 2007-10-29
1346468477 Rose Scammell Speech-Language Pathologist 807 S Oyster Bay Rd, Bethpage, NY 11714-1030 2007-04-23
1174740906 Jeanine A Barrera Occupational Therapy Assistant 807 S Oyster Bay Rd, Bethpage, NY 11714-1030 2007-04-20
1811067507 Mansoor Ashraf Dentist 807 S Oyster Bay Rd, Bethpage, NY 11714-1030 2006-11-09
1720158462 Meredith Long Psychiatry & Neurology 807 S Oyster Bay Rd, Bethpage, NY 11714-1030 2006-11-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023466208 Angelika Cataldo Physician Assistant 96 Farmers Ave, Bethpage, NY 11714 2016-05-30
1215390240 Jessica Cohen Micciulli Counselor 1211 Stewart Ave., Suite 100, Bethpage, NY 11714 2016-03-29
1295119329 Van Tu Physician Assistant 72 Roosevelt Dr, Bethpage, NY 11714 2015-07-18
1124400072 Nicole Simon Speech-Language Pathologist 28 Lee Avenue, Bethpage, NY 11714 2015-06-26
1083001556 Gagandeep Sharma Podiatrist 255 Stewart Ave, Bethpage, NY 11714 2015-04-22
1245631399 All About Kids Local Education Agency (LEA) 152 Sycamore Avenue, Bethpage, NY 11714 2014-09-09
1568871440 Christina Healy Home Health Aide 49 West Millpage Drive, Bethpage, NY 11714 2014-08-05
1225444656 Ryan Vincent Costello Registered Nurse 68 S. 2nd St., Apt A, Bethpage, NY 11714 2014-07-07
1598195125 Lori-ann Perez Case Manager/Care Coordinator 18 Ellen Street, Bethpage, NY 11714 2013-11-18
1306195482 Lisa Kozlowsky Behavioral Analyst 420 Kensington Lane, Bethpage, NY 11714 2012-09-05
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Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811459498 Francesca Mary Brzyski Nurse Practitioner 4230 Hempstead Tpke Ste 208, Bethpage, NY 11714-5700 2019-04-03
1821508730 Salina M Cascino Nurse Practitioner 4230 Hempstead Tpke Ste 208, Bethpage, NY 11714-5700 2017-10-05
1609324839 Stephanie Madigan Nurse Practitioner 4230 Hempstead Tpke, Ste 208, Bethpage, NY 11714-5700 2016-09-16
1023270972 Lisa Anne Cooleen Nurse Practitioner 4277 Hempstead Tpke, Suite 102, Bethpage, NY 11714-5709 2008-07-01

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1417567942 Amanpreet Karir Nurse Practitioner 1305 York Ave Ste 6, New York, NY 10021-5663 2020-08-10
1700495249 Jessica Bobadilla Nurse Practitioner 9960 63rd Rd Apt 11w, Rego Park, NY 11374-1925 2020-07-30
1144844812 Charlene Santos-alvarez Nurse Practitioner 8450 169th St Apt 502, Jamaica, NY 11432-2018 2020-05-29
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Competitor

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City BETHPAGE
Zip Code 11714

Improve Information

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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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