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JEAN PENDERGAST RN
NPI 1003540923
Registered Nurse - Psychiatric/Mental Health in Oakdale, NY

Active since July 15, 2022
405 LOCUST AVE, OAKDALE, NY 11769(631) 868-1254(631) 567-1648 Get Directions Write a Review

NPPES record last updated: July 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jean Pendergast Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEAN PENDERGAST RN (NPI 1003540923) is an individual psychiatric/mental health provider in Oakdale, New York, licensed in New York (738682-01) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1003540923
Entity TypeIndividualFemale
Primary Taxonomy163WP0808X
Provider Legal NameJEAN PENDERGASTCredential: RN
Location Address405 LOCUST AVEOakdale, NY 11769-1651
Mailing Address405 Locust AveOakdale, NY 11769-1651 · (631) 868-1254 · Fax (631) 567-1648
Phone(631) 868-1254
Fax(631) 567-1648
Sole ProprietorNo
Enumeration DateJuly 15, 2022
NPPES CertifiedJuly 15, 2022
✔ NPI 1003540923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental HealthNursing Service Providers
Taxonomy Code163WP0808X
License✔ Licensed in NY · 738682-01
405 LOCUST AVE, Oakdale, NY 11769
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEALTHY MINDS IN MOTION PSYCHIATRY NP SERVICES PLLC
Nurse Practitioner (Psychiatric/Mental Health)
405 LOCUST AVE
OAKDALE, NY 11769
Suffolk County (631) 868-1244
MS. DARYL WAGER LCSW
Social Worker (Clinical)
405 LOCUST AVE
OAKDALE, NY 11769
Suffolk County (631) 567-3320
EILEEN GOLON
Social Worker
405 LOCUST AVE
OAKDALE, NY 11769
Suffolk County (631) 567-1626
MS. LISA GATTI
Social Worker
405 LOCUST AVE, SKILLS UNLIMITED
OAKDALE, NY 11769
Suffolk County (631) 567-3320
RENEE RICHMAN LMSW
Social Worker
405 LOCUST AVE
OAKDALE, NY 11769
Suffolk County (516) 427-7608
RICHARD PREVETE
Social Worker
405 LOCUST AVE
OAKDALE, NY 11769
Suffolk County (631) 868-1244
YVETTE JEAN
Social Worker
405 LOCUST AVE
OAKDALE, NY 11769
Suffolk County (631) 868-1246
JANINE FIORELLO NPP
Nurse Practitioner (Psychiatric/Mental Health)
405 LOCUST AVE
OAKDALE, NY 11769
Suffolk County (631) 567-1626

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jean Pendergast's NPI number?

The NPI number for Jean Pendergast is 1003540923. It was assigned to this individual provider in the NPPES registry on July 15, 2022.

Where is Jean Pendergast located?

Jean Pendergast practices at 405 Locust Ave, Oakdale, NY 11769. The listed phone number is (631) 868-1254.

What is Jean Pendergast's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, with taxonomy code 163WP0808X.

When was this NPI record last updated?

The NPPES record for Jean Pendergast was last updated on July 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.