MS. JEAN MARIE ODOHERTY ANP
NPI 1730374455
Nurse Practitioner - Adult Health in Arverne, NY

Q: What is Jean Odoherty's NPI number?

The NPI number for Jean Odoherty is 1730374455. It was assigned to this individual provider in the NPPES registry on September 6, 2007.

Q: What is Jean Odoherty's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Jean Odoherty was last updated on June 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since September 06, 2007

342 BEACH 54TH ST, ARVERNE, NY 11692(718) 634-5448 Get Directions Write a Review

NPPES record last updated: June 1, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ms. Jean Marie Odoherty Anp NPPES

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

MS. JEAN MARIE ODOHERTY ANP (NPI 1730374455) is an individual adult health provider in Arverne, New York, licensed in New York (303085) and active in the NPI registry since September 2007. She maintains a secondary practice location in Long Beach.

NPPES Registry Identity

NPI1730374455

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameMS. JEAN MARIE ODOHERTYCredential: ANP

Location Address342 BEACH 54TH STArverne, NY 11692-1782

Mailing Address342 Beach 54th StArverne, NY 11692-1782 · (718) 634-5448

Phone(718) 634-5448

Sole ProprietorYes

Enumeration DateSeptember 6, 2007

Last NPPES UpdateJune 1, 2022

NPPES CertifiedJune 1, 2022

✔ NPI 1730374455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NY · 303085

342 BEACH 54TH ST, Arverne, NY 11692

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Secondary Practice Location 1

Location 1121 New York AveLong Beach, NY 11561-2821 · Phone (516) 232-3748

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.

HUNGYUK JIMMY LEUNG

Pharmacist

342 BEACH 54TH ST
ARVERNE, NY 11692

Queens County (718) 634-5890

R & I RX CENTER, INC.

Pharmacy (Community/Retail Pharmacy)

342 BEACH 54TH ST
ARVERNE, NY 11692

Queens County (718) 634-5890

WAYNE G KELLY DDS PC

Dentist

342 BEACH 54TH ST
ARVERNE, NY 11692

Queens County (718) 474-0801

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 Jean Odoherty's NPI number?

The NPI number for Jean Odoherty is 1730374455. It was assigned to this individual provider in the NPPES registry on September 6, 2007.

Where is Jean Odoherty located?

Jean Odoherty practices at 342 Beach 54th St, Arverne, NY 11692. The listed phone number is (718) 634-5448.

What is Jean Odoherty's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Jean Odoherty was last updated on June 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.