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MR. JERRY GREENFIELD LPN
NPI 1104130053
Licensed Practical Nurse in Middle Island, NY

Active since August 03, 2010
51 GAUGUIN CT, MIDDLE ISLAND, NY 11953(631) 924-1374 Get Directions Write a Review

NPPES record last updated: August 3, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Jerry Greenfield Lpn NPPES

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

MR. JERRY GREENFIELD LPN (NPI 1104130053) is an individual licensed practical nurse in Middle Island, New York, licensed in New York (253928) and active in the NPI registry since August 2010.

NPPES Registry Identity

NPI1104130053
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameMR. JERRY GREENFIELDCredential: LPN
Location Address51 GAUGUIN CTMiddle Island, NY 11953-2001
Mailing Address51 Gauguin CtMiddle Island, NY 11953-2001 · (631) 924-1374
Phone(631) 924-1374
Sole ProprietorYes
Enumeration DateAugust 3, 2010
✔ NPI 1104130053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 253928
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
51 GAUGUIN CT, Middle Island, NY 11953
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Other Identifiers 1

Other253928NY · Lpn

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 Jerry Greenfield's NPI number?

The NPI number for Jerry Greenfield is 1104130053. It was assigned to this individual provider in the NPPES registry on August 3, 2010.

Where is Jerry Greenfield located?

Jerry Greenfield practices at 51 Gauguin Ct, Middle Island, NY 11953. The listed phone number is (631) 924-1374.

What is Jerry Greenfield's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Jerry Greenfield was last updated on August 3, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.