1. Home
  2. Directory
  3. New York
  4. Patchogue
  5. Nurse Practitioner
  6. NPI Profile

JESSICA WOOD PEDIATRIC NURSE PRACTITIONER PLLC
NPI 1114578416
Nurse Practitioner - Pediatrics in Patchogue, NY

Active since September 27, 2019
122 W ROE BLVD, PATCHOGUE, NY 11772(631) 260-1314(631) 629-6762 Get Directions Write a Review

NPPES record last updated: April 24, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jessica Wood Pediatric Nurse Practitioner Pllc NPPES

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

JESSICA WOOD PEDIATRIC NURSE PRACTITIONER PLLC (NPI 1114578416) is a healthcare organization registered as a pediatrics in Patchogue, New York and active in the NPI registry since September 2019. The organization lists Jessica Wood, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1114578416
Entity TypeOrganization
Primary Taxonomy363LP0200X
Legal Business NameJESSICA WOOD PEDIATRIC NURSE PRACTITIONER PLLC
Location Address122 W ROE BLVDPatchogue, NY 11772-2569
Mailing Address14 Boisenberry LnCenter Moriches, NY 11934-1416 · (631) 275-5545 · Fax (631) 629-6762
Phone(631) 260-1314
Fax(631) 629-6762
Organization SubpartNo
Authorized OfficialJessica WoodNurse Practitioner · (631) 275-5545
Enumeration DateSeptember 27, 2019
Last NPPES UpdateApril 24, 2025
NPPES CertifiedApril 24, 2025
✔ NPI 1114578416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
122 W ROE BLVD, Patchogue, NY 11772
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 14

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

MARIE CHRISTINE DIDONATO PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
122 W ROE BLVD
PATCHOGUE, NY 11772
Suffolk County (516) 728-4945
PIERRETTE M. BEGENT PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
122 W ROE BLVD
PATCHOGUE, NY 11772
Suffolk County (318) 346-3566
TRANSITION WELLNESS
Nurse Practitioner (Psychiatric/Mental Health)
122 W ROE BLVD
PATCHOGUE, NY 11772
Suffolk County (631) 493-7636
BREEZY CHIROPRACTIC PC
Chiropractor
122 W ROE BLVD
PATCHOGUE, NY 11772
Suffolk County (631) 213-9020
ANNAMARIA SPERA LMSW
Social Worker
122 W ROE BLVD
PATCHOGUE, NY 11772
Suffolk County (631) 804-3793
BEGENTLE OCCUPATIONAL THERAPY PLLC
Health Maintenance Organization
122 W ROE BLVD
PATCHOGUE, NY 11772
Suffolk County (631) 742-5472
DIANE ELIZABETH WAHNE PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
122 W ROE BLVD
PATCHOGUE, NY 11772
Suffolk County (631) 493-7636
GUIDING BALANCE - PSYCHIATRIC NP, PLLC
Nurse Practitioner (Psychiatric/Mental Health)
122 W ROE BLVD
PATCHOGUE, NY 11772
Suffolk County (631) 260-1314

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 Jessica Wood Pediatric Nurse Practitioner PLLC's NPI number?

The NPI number for Jessica Wood Pediatric Nurse Practitioner PLLC is 1114578416. It was assigned to this organization in the NPPES registry on September 27, 2019.

Where is Jessica Wood Pediatric Nurse Practitioner PLLC located?

Jessica Wood Pediatric Nurse Practitioner PLLC is located at 122 W Roe Blvd, Patchogue, NY 11772. The listed phone number is (631) 260-1314.

What is Jessica Wood Pediatric Nurse Practitioner PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Jessica Wood Pediatric Nurse Practitioner PLLC was last updated on April 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.