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JENNIFER KATHERINE PRALLE BRODERICK
NPI 1457221848
Specialist in Huntington, NY

Active since November 10, 2025
36 HIGHLAND CT, HUNTINGTON, NY 11743(631) 697-8412 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 19, 2025, Nov 10, 2025 (2 updates tracked since 2025).

About Jennifer Katherine Pralle Broderick NPPES

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

JENNIFER KATHERINE PRALLE BRODERICK (NPI 1457221848) is an individual specialist in Huntington, New York and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1457221848
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameJENNIFER KATHERINE PRALLE BRODERICK
Location Address36 HIGHLAND CTHuntington, NY 11743-3235
Mailing Address36 Highland CtHuntington, NY 11743-3235
Phone(631) 697-8412
Sole ProprietorYes
Enumeration DateNovember 10, 2025
Last NPPES UpdateNovember 19, 20252 updates tracked since enumeration
NPPES CertifiedNovember 10, 2025
✔ NPI 1457221848 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.
36 HIGHLAND CT, Huntington, NY 11743
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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 Pralle Broderick's NPI number?

The NPI number for Jennifer Pralle Broderick is 1457221848. It was assigned to this individual provider in the NPPES registry on November 10, 2025.

Where is Jennifer Pralle Broderick located?

Jennifer Pralle Broderick practices at 36 Highland Ct, Huntington, NY 11743. The listed phone number is (631) 697-8412.

What is Jennifer Pralle Broderick'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 Pralle Broderick was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.