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JENNIFER KELLER
NPI 1578821385
Residential Treatment Facility, Physical Disabilities in Peconic, NY

Active since April 30, 2012
1190 ARROWHEAD LN, PECONIC, NY 11958(631) 680-2010 Get Directions Write a Review

NPPES record last updated: April 30, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jennifer Keller NPPES

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

JENNIFER KELLER (NPI 1578821385) is an individual residential treatment facility, physical disabilities provider in Peconic, New York, licensed in New York (494793) and active in the NPI registry since April 2012.

NPPES Registry Identity

NPI1578821385
Entity TypeIndividualFemale
Primary Taxonomy320700000X
Provider Legal NameJENNIFER KELLER
Location Address1190 ARROWHEAD LNPeconic, NY 11958-1602
Mailing AddressPo Box 436Cutchogue, NY 11935-0436
Phone(631) 680-2010
Sole ProprietorYes
Enumeration DateApril 30, 2012
✔ NPI 1578821385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Physical DisabilitiesResidential Treatment Facilities
Taxonomy Code320700000X
License✔ Licensed in NY · 494793
Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.

1190 ARROWHEAD LN, Peconic, NY 11958
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Other Names 1

Other Name (5)Jennifer Bukowitz

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 Keller's NPI number?

The NPI number for Jennifer Keller is 1578821385. It was assigned to this individual provider in the NPPES registry on April 30, 2012. The provider is also known as Jennifer Bukowitz.

Where is Jennifer Keller located?

Jennifer Keller practices at 1190 Arrowhead Ln, Peconic, NY 11958. The listed phone number is (631) 680-2010.

What is Jennifer Keller's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Physical Disabilities with taxonomy code 320700000X.

When was this NPI record last updated?

The NPPES record for Jennifer Keller was last updated on April 30, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.