JACLYN MAE CHOTOWICKY
NPI 1104591437
Nurse Practitioner - Acute Care in Riverhead, NY
About Jaclyn Mae Chotowicky NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACLYN MAE CHOTOWICKY (NPI 1104591437) is an individual acute care provider in Riverhead, New York, licensed in New York (432092) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS, is affiliated with Northwell Hospital Glen Cove, and is a graduate of Hofstra North Shore - Lij School Of Medicine (2021).
NPPES Registry Identity
Specialties & Licenses
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 Mae Chotowicky 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northwell Hospital Glen Cove
Acute Care Hospitals · Glen Cove, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
RIVERHEAD, NY 11901
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 Chotowicky's NPI number?
The NPI number for Jaclyn Chotowicky is 1104591437. It was assigned to this individual provider in the NPPES registry on August 10, 2021.
Where is Jaclyn Chotowicky located?
Jaclyn Chotowicky practices at 1300 Roanoke Ave, Riverhead, NY 11901. The listed phone number is (516) 661-1721.
What is Jaclyn Chotowicky's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Jaclyn Chotowicky enrolled in Medicare?
Yes. Jaclyn Chotowicky 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 Chotowicky affiliated with any hospitals?
According to CMS data, Jaclyn Chotowicky is affiliated with Northwell Hospital Glen Cove.
When was this NPI record last updated?
The NPPES record for Jaclyn Chotowicky was last updated on September 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Jaclyn Mae Chotowicky · NPI 1104591437
Acute Care physician in Riverhead, New York. Individual provider, active in the CMS NPPES registry since August 10, 2021.
## Identity
- **NPI:** 1104591437 (Entity type: Individual)
- **Enumerated:** August 10, 2021
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 432092 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1300 ROANOKE AVE, Riverhead, NY 11901-2031
- **Phone:** (516) 661-1721
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Hofstra North Shore - Lij School Of Medicine, class of 2021
## Record status
- **NPPES last updated:** September 9, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1104591437) · Data from the CMS NPPES public registry.