1. Home
  2. Directory
  3. New York
  4. Smithtown
  5. Physician Assistant
  6. NPI Profile

JENNIFER FIDELO NP
NPI 1508077058
Physician Assistant in Smithtown, NY

Active since May 25, 2007
994 W JERICHO TPKE, SUITE 202, SMITHTOWN, NY 11787(631) 474-5800(631) 864-9201 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jennifer Fidelo Np NPPES

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

JENNIFER FIDELO NP (NPI 1508077058) is an individual physician assistant in Smithtown, New York, licensed in New York (400712) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1508077058
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJENNIFER FIDELOCredential: NP
Location Address994 W JERICHO TPKE, SUITE 202Smithtown, NY 11787-3235
Mailing Address994 W Jericho Tpke, Suite 202Smithtown, NY 11787-3235 · (631) 474-5800 · Fax (631) 864-9201
Phone(631) 474-5800
Fax(631) 864-9201
Sole ProprietorYes
Enumeration DateMay 25, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1508077058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 400712
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
994 W JERICHO TPKE, Smithtown, NY 11787
Open in Google Maps ↗

Other Providers at the Same Location NPPES 18

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

KARIN EVA BURKHARD MD
Psychiatry & Neurology (Psychiatry)
994 W JERICHO TPKE, SUITE 202
SMITHTOWN, NY 11787
Suffolk County (631) 864-9200
MRS. RACHEL ANNE DEMAIO FNP
Nurse Practitioner (Family)
994 W JERICHO TPKE
SMITHTOWN, NY 11787
Suffolk County (631) 265-4200
TIMOTHY D GROTH M.D.
Anesthesiology (Pain Medicine)
994 W JERICHO TPKE, SUITE 104
SMITHTOWN, NY 11787
Suffolk County (631) 543-1440
THOMAS YARROBINO, PT, PC
Physical Medicine & Rehabilitation
994 W JERICHO TPKE, SUITE 202A
SMITHTOWN, NY 11787
Suffolk County (631) 864-6008
ALLISON WALLSHEIN
Registered Nurse (Psychiatric/Mental Health)
994 W JERICHO TPKE, SUITE 202
SMITHTOWN, NY 11787
Suffolk County (631) 470-5575
LLOYD D. LANDSMAN, M.D.P.C.
Plastic Surgery
994 W JERICHO TPKE
SMITHTOWN, NY 11787
Suffolk County (631) 864-4111
MICHELE A MORGANSTERN PH.D.
Psychologist (Clinical)
994 W JERICHO TPKE, SUITE 202
SMITHTOWN, NY 11787
Suffolk County (631) 786-8129
DELTA SLEEP CENTER
Sleep Specialist, PhD
994 W JERICHO TPKE
SMITHTOWN, NY 11787
Suffolk County (631) 787-2386

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 Fidelo's NPI number?

The NPI number for Jennifer Fidelo is 1508077058. It was assigned to this individual provider in the NPPES registry on May 25, 2007.

Where is Jennifer Fidelo located?

Jennifer Fidelo practices at 994 W Jericho Tpke Suite 202, Smithtown, NY 11787. The listed phone number is (631) 474-5800.

What is Jennifer Fidelo's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Jennifer Fidelo was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.