JACLYN SARA DIMATTEI NP
NPI 1093238222
Nurse Practitioner - Adult Health in Smithtown, NY

Active since July 19, 2017PECOS EnrolledAccepts Medicare Assignment
75 LANDING MEADOW RD, SMITHTOWN, NY 11787(631) 360-4700 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2018, Jul 19, 2017 (2 updates tracked since 2017).

About Jaclyn Sara Dimattei Np NPPES

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

JACLYN SARA DIMATTEI NP (NPI 1093238222) is an individual adult health provider in Smithtown, New York, licensed in New York (308286) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and maintains a secondary practice location in Port Jefferson Station.

NPPES Registry Identity

NPI1093238222
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameJACLYN SARA DIMATTEICredential: NP
Location Address75 LANDING MEADOW RDSmithtown, NY 11787-1124
Mailing Address269 Radio AveMiller Place, NY 11764-3528
Sole ProprietorNo
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 2017
Enumeration DateJuly 19, 2017
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
NPI 1093238222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in NY · 308286
75 LANDING MEADOW RD, Smithtown, NY 11787

Secondary Practice Location 1

Location 133 Terryville RdPort Jefferson Station, NY 11776-1331 · Phone (631) 439-4300

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jaclyn Sara Dimattei Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446523211
PECOS Enrollment IDI20170830003220
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
52 services51 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

St Charles Hospital

Acute Care Hospitals · Port Jefferson, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330246
Location200 Belle Terre RoadPort Jefferson, NY 11777 · Suffolk County
Birthing friendly

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330393
LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11787 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers35 claims57 services$5.57 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers20 claims23 services$1.11 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

Speech-Language Pathologist
75 LANDING MEADOW RD
SMITHTOWN, NY 11787
Clinic/Center (Developmental Disabilities)
75 LANDING MEADOW RD
SMITHTOWN, NY 11787
Clinic/Center (Developmental Disabilities)
75 LANDING MEADOW RD
SMITHTOWN, NY 11787
Clinic/Center (Developmental Disabilities)
75 LANDING MEADOW RD
SMITHTOWN, NY 11787
Clinic/Center (Federally Qualified Health Center (FQHC))
75 LANDING MEADOW RD
SMITHTOWN, NY 11787
Nurse Practitioner
75 LANDING MEADOW RD, OPTI HEALTH CARE
SMITHTOWN, NY 11787
Psychologist (Clinical)
75 LANDING MEADOW RD
SMITHTOWN, NY 11787
Registered Nurse
75 LANDING MEADOW RD
SMITHTOWN, NY 11787

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 Jaclyn Dimattei's NPI number?

The NPI number for Jaclyn Dimattei is 1093238222. It was assigned to this individual provider in the NPPES registry on July 19, 2017.

Where is Jaclyn Dimattei located?

Jaclyn Dimattei practices at 75 Landing Meadow Rd, Smithtown, NY 11787. The listed phone number is (631) 360-4700.

What is Jaclyn Dimattei's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Jaclyn Dimattei enrolled in Medicare?

Yes. Jaclyn Dimattei is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Jaclyn Dimattei affiliated with any hospitals?

According to CMS data, Jaclyn Dimattei is affiliated with North Shore University Hospital, St Charles Hospital and Suny/Stony Brook University Hospital.

When was this NPI record last updated?

The NPPES record for Jaclyn Dimattei was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.