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JENNA SPATAFORA
NPI 1548859069
Physician Assistant in Deer Park, NY

Active since January 11, 2021
527 HALF HOLLOW RD, DEER PARK, NY 11729(631) 860-3024 Get Directions Write a Review

NPPES record last updated: March 31, 2021. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Mar 31, 2021, Jan 11, 2021 (2 updates tracked since 2021).

About Jenna Spatafora NPPES

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

JENNA SPATAFORA (NPI 1548859069) is an individual physician assistant in Deer Park, New York, licensed in New York (026495) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1548859069
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJENNA SPATAFORA
Location Address527 HALF HOLLOW RDDeer Park, NY 11729-1022
Mailing Address527 Half Hollow RdDeer Park, NY 11729-1022 · (631) 860-3024
Phone(631) 860-3024
Sole ProprietorNo
Enumeration DateJanuary 11, 2021
Last NPPES UpdateMarch 31, 20212 updates tracked since enumeration
NPPES CertifiedMarch 31, 2021
✔ NPI 1548859069 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 · 026495
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.
527 HALF HOLLOW RD, Deer Park, NY 11729
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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 Jenna Spatafora's NPI number?

The NPI number for Jenna Spatafora is 1548859069. It was assigned to this individual provider in the NPPES registry on January 11, 2021.

Where is Jenna Spatafora located?

Jenna Spatafora practices at 527 Half Hollow Rd, Deer Park, NY 11729. The listed phone number is (631) 860-3024.

What is Jenna Spatafora'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 Jenna Spatafora was last updated on March 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.