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DR. JACLYN MCKINSTRY M.D.
NPI 1104052778
Pediatrics - Pediatric Critical Care Medicine in New York, NY

Active since June 09, 2009PECOS Enrolled
403 E 34TH ST, NEW YORK, NY 10016(212) 263-8475 Get Directions Write a Review

NPPES record last updated: August 15, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 15, 2022, Jun 8, 2022, May 29, 2020 (3 updates tracked since 2020).

About Dr. Jaclyn Mckinstry M.d. NPPES

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

DR. JACLYN MCKINSTRY M.D. (NPI 1104052778) is an individual pediatric critical care medicine provider in New York, New York, licensed in New York (277037) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS and maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1104052778
Entity TypeIndividualFemale
Primary Taxonomy2080P0203X
Provider Legal NameDR. JACLYN MCKINSTRYCredential: M.D.
Location Address403 E 34TH STNew York, NY 10016-4972
Mailing Address1575 Tremont St, Apt #209Roxbury Crossing, MA 02120-1677 · (856) 952-9206
Phone(212) 263-8475
Sole ProprietorNo
Enumeration DateJune 9, 2009
Last NPPES UpdateAugust 15, 20223 updates tracked since enumeration
NPPES CertifiedAugust 15, 2022
✔ NPI 1104052778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in NY · 277037
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedPediatricsTaxonomy 208000000X · License 241114 (MA)
Also ListedPediatrics · Pediatric CardiologyTaxonomy 2080P0202X · License 277037 (NY)
403 E 34TH ST, New York, NY 10016
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Secondary Practice Location 1

Location 1300 Longwood AveBoston, MA 02115-5724 · Phone (617) 355-6000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jaclyn Mckinstry M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 19

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

MS. ALYSON SILVERBERG NP
Nurse Practitioner (Adult Health)
403 E 34TH ST, 4TH FLOOR
NEW YORK, NY 10016
New York County (212) 263-8873
MIN ZHOU
Nurse Practitioner (Adult Health)
403 E 34TH ST, 3RD FLOOR
NEW YORK, NY 10016
New York County (212) 263-8134
NEW YORK UNIVERSITY MEDICAL CENTER
Psychiatry & Neurology (Neurology)
403 E 34TH ST, 2ND FL
NEW YORK, NY 10016
New York County (212) 263-8344
ALYSSA HOPE DIAZ AGACNP-BC
Nurse Practitioner (Acute Care)
403 E 34TH ST
NEW YORK, NY 10016
New York County (212) 263-3165
ERIKA FERNANDEZ N.P.
Nurse Practitioner (Family)
403 E 34TH ST
NEW YORK, NY 10016
New York County (212) 263-8134
AHMED FAHMY M.D.
Transplant Surgery
403 E 34TH ST, 3RD FL
NEW YORK, NY 10016
New York County (212) 263-8134
MRS. DIANE REFORMINA BRUNELLI NP
Nurse Practitioner (Family)
403 E 34TH ST, PEDIATRIC CARDIOLOGY 4TH FLOOR
NEW YORK, NY 10016
New York County (212) 263-1245
LEWIS TEPERMAN M.D.
Transplant Surgery
403 E 34TH ST, 3RD FL
NEW YORK, NY 10016
New York County (212) 263-8134

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 Mckinstry's NPI number?

The NPI number for Jaclyn Mckinstry is 1104052778. It was assigned to this individual provider in the NPPES registry on June 9, 2009.

Where is Jaclyn Mckinstry located?

Jaclyn Mckinstry practices at 403 E 34th St, New York, NY 10016. The listed phone number is (212) 263-8475.

What is Jaclyn Mckinstry's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Jaclyn Mckinstry enrolled in Medicare?

Yes. Jaclyn Mckinstry is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jaclyn Mckinstry was last updated on August 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.