Jaclyn Dimattei (NPI# 1093238222, PAC ID# 0446523211) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1093238222 |
| PAC ID by PECOS | 0446523211 |
| Professional Enrollment ID | I20170830003220 |
| Full Name | Jaclyn Dimattei |
| Organization Legal Name | LONG ISLAND SELECT HEALTHCARE, INC |
| Address |
159 Carleton Ave Central Islip NY 11722-4172 |
| Phone Number | 6314394300 |
| Gender | F |
| Medical School | STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5991086225 |
| Number of Group Practice Members | 27 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330185 | JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON |
| 330106 | NS/LIJ HS-NORTH SHORE UNIVERSITY HOSPITAL AT MANHASSET |
| 330141 | BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 159 Carleton Ave, Central Islip, NY 11722-4172 | 6314394300 | LONG ISLAND SELECT HEALTHCARE, INC |
| 75 Landing Meadow Rd, Smithtown, NY 11787-1124 | 6314394300 | LONG ISLAND SELECT HEALTHCARE, INC |
| Organization Legal Name | LONG ISLAND SELECT HEALTHCARE, INC |
| Physicians | 23 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrea Martinez Villalobos | Physician Assistant | Long Island Select Healthcare, Inc | 159 Carleton Ave, Central Islip, NY 11722-4172 |
| Susan M Trees | Nurse Practitioner | Long Island Select Healthcare, Inc | 120 Plant Ave, Hauppauge, NY 11788-3805 |
| Kristin Votteler | Physical Therapy | Long Island Select Healthcare, Inc | 221 N Sunrise Service Rd, Manorville, NY 11949-9604 |
| Steven A Rossi | Qualified Speech Language Pathologist | Long Island Select Healthcare, Inc | 75 Landing Meadow Rd, Smithtown, NY 11787-1124 |
| Judy A. White | Physical Therapy | Long Island Select Healthcare, Inc | 221 N Sunrise Service Rd, Manorville, NY 11949-9604 |
| Christina A Bianchini | Physical Therapy | Long Island Select Healthcare, Inc | 159 Carleton Ave, Central Islip, NY 11722-4172 |
| Eugene N Gerardi | Allergy/immunology | Long Island Select Healthcare, Inc | 75 Landing Meadow Rd, Smithtown, NY 11787-1124 |
| Anna L Wotowiec | Occupational Therapy | Long Island Select Healthcare, Inc | 159 Carleton Ave, Central Islip, NY 11722-4172 |
| Susan Melnick | Nurse Practitioner | Long Island Select Healthcare, Inc | 159 Carleton Ave, Central Islip, NY 11722-4172 |
| Kristin Marie Crimi | Qualified Speech Language Pathologist | Long Island Select Healthcare, Inc | 221 N Sunrise Service Rd, Manorville, NY 11949-9604 |
| Street Address |
159 CARLETON AVE |
| City | CENTRAL ISLIP |
| State | NY |
| Zip | 11722-4172 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrea Martinez Villalobos | Physician Assistant | Long Island Select Healthcare, Inc | 159 Carleton Ave, Central Islip, NY 11722-4172 |
| Christina A Bianchini | Physical Therapy | Long Island Select Healthcare, Inc | 159 Carleton Ave, Central Islip, NY 11722-4172 |
| Anna L Wotowiec | Occupational Therapy | Long Island Select Healthcare, Inc | 159 Carleton Ave, Central Islip, NY 11722-4172 |
| Susan Melnick | Nurse Practitioner | Long Island Select Healthcare, Inc | 159 Carleton Ave, Central Islip, NY 11722-4172 |
| Eileen Ingenito | Nurse Practitioner | Long Island Select Healthcare, Inc | 159 Carleton Ave, Central Islip, NY 11722-4172 |
| Lauren M Lindwall | Qualified Speech Language Pathologist | Long Island Select Healthcare, Inc | 159 Carleton Ave, Central Islip, NY 11722-4172 |
| James R Powell Jr. | Internal Medicine | Long Island Select Healthcare, Inc | 159 Carleton Ave, Central Islip, NY 11722-4172 |
| Paris A Arianas | Psychiatry | Long Island Select Healthcare, Inc | 159 Carleton Ave, Central Islip, NY 11722-4172 |
| Jaclyn A Farino | Nurse Practitioner | Long Island Select Healthcare, Inc | 159 Carleton Ave, Central Islip, NY 11722-4172 |
| Jillian Lubrano | Occupational Therapy | Long Island Select Healthcare, Inc | 159 Carleton Ave, Central Islip, NY 11722-4172 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas Francis Dow | Chiropractic | 46 W Suffolk Ave, Central Islip, NY 11722-2144 | |
| Marie C Jacques | Internal Medicine | 45 W Suffolk Ave, Fl 2, Central Islip, NY 11722-2156 | |
| Pattie N Walton | Nurse Practitioner | Suffolk Pediatric, PC | 45 W Suffolk Ave, Central Islip, NY 11722-2156 |
| Carl-henri Sanchez | Internal Medicine | 108 W Suffolk Ave, Unit B, Central Islip, NY 11722-2165 | |
| Scott E Forsmith | Clinical Social Worker | 10 Dolores Pl, Central Islip, NY 11722-2204 | |
| Gregory P Krumholz | Chiropractic | 258 E Suffolk Ave, Central Islip, NY 11722-2634 | |
| George Richard Marzen Jr. | Clinical Social Worker | Hands Across Long Island, Inc | 159 Brightside Ave, Central Islip, NY 11722-2710 |
| Nancy J Fortin | Nurse Practitioner | Long Island Select Healthcare, Inc | 159 Carleton Ave, Central Islip, NY 11722-4172 |
| Adrinne Manzella | Qualified Audiologist | Long Island Select Healthcare, Inc | 159 Carleton Ave, Central Islip, NY 11722-4172 |
| Gail A Fraser-farmer | Hospitalist | Long Island Select Healthcare, Inc | 159 Carleton Ave, Central Islip, NY 11722-4172 |
| Find all physicians in zip 11722 | |||
| City | CENTRAL ISLIP |
| Zip Code | 11722 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CENTRAL ISLIP + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jaclyn Dimattei.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.