JENNIFER JANE FAGAN
NPI 1174179121
Specialist in West Sayville, NY

Q: What is Jennifer Fagan's NPI number?

The NPI number for Jennifer Fagan is 1174179121. It was assigned to this individual provider in the NPPES registry on August 15, 2019. The provider is also known as Jennifer Jane Tomforde.

Q: What is Jennifer Fagan's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Fagan was last updated on August 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since August 15, 2019

6 FREMONT RD, WEST SAYVILLE, NY 11796(631) 678-1355 Get Directions Write a Review

NPPES record last updated: August 15, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Jennifer Jane Fagan NPPES

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

JENNIFER JANE FAGAN (NPI 1174179121) is an individual specialist in West Sayville, New York and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1174179121

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameJENNIFER JANE FAGAN

Location Address6 FREMONT RDWest Sayville, NY 11796-1009

Mailing Address6 Fremont RdWest Sayville, NY 11796-1009 · (631) 678-1355

Phone(631) 678-1355

Sole ProprietorNo

Enumeration DateAugust 15, 2019

✔ NPI 1174179121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

6 FREMONT RD, West Sayville, NY 11796

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Other Names 1

Other Name (5)Jennifer Jane Tomforde

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 Jennifer Fagan's NPI number?

The NPI number for Jennifer Fagan is 1174179121. It was assigned to this individual provider in the NPPES registry on August 15, 2019. The provider is also known as Jennifer Jane Tomforde.

Where is Jennifer Fagan located?

Jennifer Fagan practices at 6 Fremont Rd, West Sayville, NY 11796. The listed phone number is (631) 678-1355.

What is Jennifer Fagan's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jennifer Fagan was last updated on August 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.