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JENNIFER BANNEN
NPI 1225916331
Specialist in Middle Island, NY

Active since August 26, 2025
PO BOX 12, MIDDLE ISLAND, NY 11953(631) 924-0008 Get Directions Write a Review

NPPES record last updated: August 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jennifer Bannen NPPES

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

JENNIFER BANNEN (NPI 1225916331) is an individual specialist in Middle Island, New York and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1225916331
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameJENNIFER BANNEN
Location AddressPO BOX 12Middle Island, NY 11953-0012
Mailing Address138 Adams St EEast Islip, NY 11730-1623 · (631) 224-1151
Phone(631) 924-0008
Sole ProprietorYes
Enumeration DateAugust 26, 2025
NPPES CertifiedAugust 26, 2025
✔ NPI 1225916331 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.
PO BOX 12, Middle Island, NY 11953
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Other Providers at the Same Location NPPES 11

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

MELANIE J CHARLACK
Specialist
PO BOX 12
MIDDLE ISLAND, NY 11953
Suffolk County (631) 924-0008
KATELYN A RICHER
Specialist
PO BOX 12
MIDDLE ISLAND, NY 11953
Suffolk County (631) 924-0008
LORETTA SERVIDIO
Specialist
PO BOX 12
MIDDLE ISLAND, NY 11953
Suffolk County (631) 924-0008
MRS. LINDA MARIE SUSAN DIAZ
Specialist
PO BOX 12
MIDDLE ISLAND, NY 11953
Suffolk County (631) 924-0008
COURTNEY LYNCH
Specialist
PO BOX 12
MIDDLE ISLAND, NY 11953
Suffolk County (631) 924-0008
SABRINA MARIE RATTIN
Specialist
PO BOX 12
MIDDLE ISLAND, NY 11953
Suffolk County (631) 924-0008
KRISTA ELIZABETH BOE
Specialist
PO BOX 12
MIDDLE ISLAND, NY 11953
Suffolk County (631) 924-0008
MEREDITH FLYNN
Specialist
PO BOX 12
MIDDLE ISLAND, NY 11953
Suffolk County (631) 924-0008

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 Bannen's NPI number?

The NPI number for Jennifer Bannen is 1225916331. It was assigned to this individual provider in the NPPES registry on August 26, 2025.

Where is Jennifer Bannen located?

Jennifer Bannen practices at PO Box 12, Middle Island, NY 11953. The listed phone number is (631) 924-0008.

What is Jennifer Bannen'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 Bannen was last updated on August 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.