JACKLYN M GONCALVES
NPI 1396490538
Student in an Organized Health Care Education/Training Program in Massapequa, NY

Active since February 16, 2022
70 GRAND AVE, MASSAPEQUA, NY 11758(516) 799-3203 Get Directions Write a Review

NPPES record last updated: February 16, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jacklyn M Goncalves NPPES

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

JACKLYN M GONCALVES (NPI 1396490538) is an individual student in an organized health care education/training program in Massapequa, New York and active in the NPI registry since February 2022.

NPPES Registry Identity

NPI1396490538
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJACKLYN M GONCALVES
Location Address70 GRAND AVEMassapequa, NY 11758-4906
Mailing Address70 16th StJericho, NY 11753-2419 · (516) 406-7899
Sole ProprietorNo
Enumeration DateFebruary 16, 2022
NPPES CertifiedFebruary 16, 2022
NPI 1396490538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

70 GRAND AVE, Massapequa, NY 11758

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.

Dermatology
70 GRAND AVE
MASSAPEQUA, NY 11758
Dermatology
70 GRAND AVE
MASSAPEQUA, NY 11758
Physician Assistant
70 GRAND AVE
MASSAPEQUA, NY 11758

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 Jacklyn Goncalves's NPI number?

The NPI number for Jacklyn Goncalves is 1396490538. It was assigned to this individual provider in the NPPES registry on February 16, 2022.

Where is Jacklyn Goncalves located?

Jacklyn Goncalves practices at 70 Grand Ave, Massapequa, NY 11758. The listed phone number is (516) 799-3203.

What is Jacklyn Goncalves's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jacklyn Goncalves was last updated on February 16, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.