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DR. JENNIFER ANN NASTASI D.O.
NPI 1174630263
Pediatrics in Medford, NY

Active since August 24, 2006
2799 ROUTE 112 STE 11, MEDFORD, NY 11763(631) 732-5222(631) 732-6222 Get Directions Write a Review

NPPES record last updated: September 27, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jennifer Ann Nastasi D.o. NPPES

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

DR. JENNIFER ANN NASTASI D.O. (NPI 1174630263) is an individual pediatrics provider in Medford, New York, licensed in New York (228056) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1174630263
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. JENNIFER ANN NASTASICredential: D.O.
Location Address2799 ROUTE 112 STE 11Medford, NY 11763-2535
Mailing Address14 Hermitage StWading River, NY 11792-9204 · (631) 929-8330
Phone(631) 732-5222
Fax(631) 732-6222
Sole ProprietorNo
Enumeration DateAugust 24, 2006
Last NPPES UpdateSeptember 27, 2016
✔ NPI 1174630263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 228056
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2799 ROUTE 112 STE 11, Medford, NY 11763
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Other Identifiers 2

Medicaid02971039NY
Medicare UPINI22187NY

Other Providers at the Same Location NPPES 3

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

MRS. JESSICA A GOLDEN LMSW
Social Worker (Clinical)
2799 ROUTE 112 STE 11
MEDFORD, NY 11763
Suffolk County (631) 732-5222
CYNTHIA LONGJOHN MD
Pediatrics
2799 ROUTE 112 STE 11
MEDFORD, NY 11763
Suffolk County (631) 732-5222
MS. CATHERINE MARGARET FLYNN PNP
Nurse Practitioner (Pediatrics)
2799 ROUTE 112 STE 11
MEDFORD, NY 11763
Suffolk County (631) 732-5222

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 Nastasi's NPI number?

The NPI number for Jennifer Nastasi is 1174630263. It was assigned to this individual provider in the NPPES registry on August 24, 2006.

Where is Jennifer Nastasi located?

Jennifer Nastasi practices at 2799 Route 112 Ste 11, Medford, NY 11763. The listed phone number is (631) 732-5222.

What is Jennifer Nastasi's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Jennifer Nastasi was last updated on September 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.