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JENNIFER MICHELLE PATRICK
NPI 1083435952
Specialist in Port Jefferson Station, NY

Active since October 22, 2024
299 HALLOCK AVE, PORT JEFFERSON STATION, NY 11776(631) 397-0797 Get Directions Write a Review

NPPES record last updated: October 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jennifer Michelle Patrick NPPES

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

JENNIFER MICHELLE PATRICK (NPI 1083435952) is an individual specialist in Port Jefferson Station, New York and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1083435952
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameJENNIFER MICHELLE PATRICK
Location Address299 HALLOCK AVEPort Jefferson Station, NY 11776-1217
Mailing Address80 Ecker AveWest Babylon, NY 11704-6504 · (516) 732-0092
Phone(631) 397-0797
Sole ProprietorNo
Enumeration DateOctober 22, 2024
NPPES CertifiedOctober 22, 2024
✔ NPI 1083435952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
299 HALLOCK AVE, Port Jefferson Station, NY 11776
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Other Names 1

Former Name (1)Jennifer Michelle Brady

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.

TAMMY SAID
Speech-Language Pathologist
299 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776
Suffolk County (516) 473-9942
JILLIAN PROSPECT
Specialist
299 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 473-4284
JOAN ELIZABETH NICOTRA
Specialist
299 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 473-4284
STEPHEN MATTHEW CIDONI
Behavior Technician
299 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 475-4284
REBEKAH GUASTELLA M.S., CF-SLP, TSSLD
Speech-Language Pathologist
299 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 473-4284
DIANA L SPAGNOLA CCC-SLP
Speech-Language Pathologist
299 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 473-4284
ASHLEY ELIZABETH VETTER
Student in an Organized Health Care Education/Training Program
299 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 473-4284
GINA MARIE RUBINO
Student in an Organized Health Care Education/Training Program
299 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 473-4284

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 Jennifer Patrick's NPI number?

The NPI number for Jennifer Patrick is 1083435952. It was assigned to this individual provider in the NPPES registry on October 22, 2024. The provider is also known as Jennifer Michelle Brady.

Where is Jennifer Patrick located?

Jennifer Patrick practices at 299 Hallock Ave, Port Jefferson Station, NY 11776. The listed phone number is (631) 397-0797.

What is Jennifer Patrick's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jennifer Patrick was last updated on October 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.