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JACQUELYN MARTIN
NPI 1083012868
Student in an Organized Health Care Education/Training Program in Deer Park, NY

Active since December 10, 2014
1 BRANDYWINE DR, DEER PARK, NY 11729(631) 392-0081 Get Directions Write a Review

NPPES record last updated: December 10, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jacquelyn Martin NPPES

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

JACQUELYN MARTIN (NPI 1083012868) is an individual student in an organized health care education/training program in Deer Park, New York, licensed in New York (7547-8131) and active in the NPI registry since December 2014.

NPPES Registry Identity

NPI1083012868
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJACQUELYN MARTIN
Location Address1 BRANDYWINE DRDeer Park, NY 11729-5721
Mailing Address344 Lenox RdHuntington Station, NY 11746-2643
Phone(631) 392-0081
Sole ProprietorNo
Enumeration DateDecember 10, 2014
✔ NPI 1083012868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in NY · 7547-8131
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1 BRANDYWINE DR, Deer Park, NY 11729
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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.

MISS CHRISTINA FANDAROS OTR/L
Occupational Therapist
1 BRANDYWINE DR
DEER PARK, NY 11729
Suffolk County (631) 392-0081
MARIE ANNE PASSARO OTRL
Occupational Therapist (Pediatrics)
1 BRANDYWINE DR
DEER PARK, NY 11729
Suffolk County (631) 392-0081
OLIVIA FRANCHI
Speech-Language Pathologist
1 BRANDYWINE DR
DEER PARK, NY 11729
Suffolk County (631) 392-0081
MRS. JOANN DOHERTY M.S. ED.
Specialist
1 BRANDYWINE DR
DEER PARK, NY 11729
Suffolk County (631) 392-0081
NICOLE JOE-ANNE QUATTROCCHI OTR/L
Occupational Therapist
1 BRANDYWINE DR
DEER PARK, NY 11729
Suffolk County (631) 392-0081
ALLISON MARINOS
Specialist
1 BRANDYWINE DR
DEER PARK, NY 11729
Suffolk County (631) 392-0081
JOANNE WALKER M.S., CCC, SLP
Speech-Language Pathologist
1 BRANDYWINE DR
DEER PARK, NY 11729
Suffolk County (631) 392-0081
JEANNE S GANZ OTR
Occupational Therapist (Pediatrics)
1 BRANDYWINE DR
DEER PARK, NY 11729
Suffolk County (631) 392-0081

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 Jacquelyn Martin's NPI number?

The NPI number for Jacquelyn Martin is 1083012868. It was assigned to this individual provider in the NPPES registry on December 10, 2014.

Where is Jacquelyn Martin located?

Jacquelyn Martin practices at 1 Brandywine Dr, Deer Park, NY 11729. The listed phone number is (631) 392-0081.

What is Jacquelyn Martin's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jacquelyn Martin was last updated on December 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.