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MRS. JESSICA MARIE DONOFRIO PA-C
NPI 1326443029
Physician Assistant - Medical in Islandia, NY

Active since October 24, 2014PECOS Enrolled
1050 OLD NICHOLS RD, ISLANDIA, NY 11749(631) 828-4545 Get Directions Write a Review

NPPES record last updated: November 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Jessica Marie Donofrio Pa-c NPPES

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

MRS. JESSICA MARIE DONOFRIO PA-C (NPI 1326443029) is an individual medical provider in Islandia, New York, licensed in New York (018211) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326443029
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. JESSICA MARIE DONOFRIOCredential: PA-C
Location Address1050 OLD NICHOLS RDIslandia, NY 11749-5026
Mailing Address32 Patricia LnLake Grove, NY 11755-2843 · (631) 375-0138
Phone(631) 828-4545
Sole ProprietorYes
Enumeration DateOctober 24, 2014
Last NPPES UpdateNovember 15, 2021
NPPES CertifiedNovember 15, 2021
✔ NPI 1326443029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NY · 018211
1050 OLD NICHOLS RD, Islandia, NY 11749
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jessica Marie Donofrio Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 10

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

MISS CLAUDIA DEDEI MENSAH NP
Nurse Practitioner (Adult Health)
1050 OLD NICHOLS RD
ISLANDIA, NY 11749
Suffolk County (516) 444-7135
ADRA MEDICAL PLLC
Pain Medicine (Pain Medicine)
1050 OLD NICHOLS RD
ISLANDIA, NY 11749
Suffolk County (631) 828-4545
DR. HOWARD C GREEN DC
Chiropractor
1050 OLD NICHOLS RD
ISLANDIA, NY 11749
Suffolk County (631) 646-2433
DR. MARTIN MILLER DC
Chiropractor
1050 OLD NICHOLS RD
ISLANDIA, NY 11749
Suffolk County (631) 646-2433
DR. SPENCER DREW SALNER DC
Chiropractor
1050 OLD NICHOLS RD
ISLANDIA, NY 11749
Suffolk County (631) 646-2433
DR. GABRIEL ENRIQUE PADILLA DC
Chiropractor
1050 OLD NICHOLS RD
ISLANDIA, NY 11749
Suffolk County (631) 533-4132
MRS. JENNIFER CELLA NP
Anesthesiology (Pain Medicine)
1050 OLD NICHOLS RD
ISLANDIA, NY 11749
Suffolk County (631) 828-4545
CELSO MENDOZA PT
Physical Therapist
1050 OLD NICHOLS RD
ISLANDIA, NY 11749
Suffolk County (631) 646-2433

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 Donofrio's NPI number?

The NPI number for Jessica Donofrio is 1326443029. It was assigned to this individual provider in the NPPES registry on October 24, 2014.

Where is Jessica Donofrio located?

Jessica Donofrio practices at 1050 Old Nichols Rd, Islandia, NY 11749. The listed phone number is (631) 828-4545.

What is Jessica Donofrio's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jessica Donofrio enrolled in Medicare?

Yes. Jessica Donofrio is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessica Donofrio was last updated on November 15, 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.