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MRS. JENNIFER M SAMGHABADI NP
NPI 1881963502
Nurse Practitioner - Family in Port Jefferson Station, NY

Active since December 27, 2011
15 GARY ST, PORT JEFFERSON STATION, NY 11776(631) 241-1613 Get Directions Write a Review

NPPES record last updated: December 27, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Jennifer M Samghabadi Np NPPES

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

MRS. JENNIFER M SAMGHABADI NP (NPI 1881963502) is an individual family provider in Port Jefferson Station, New York, licensed in New York (F336553) and active in the NPI registry since December 2011.

NPPES Registry Identity

NPI1881963502
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. JENNIFER M SAMGHABADICredential: NP
Location Address15 GARY STPort Jefferson Station, NY 11776-2805
Mailing Address15 Gary StPort Jefferson Station, NY 11776-2805 · (631) 241-1613
Phone(631) 241-1613
Sole ProprietorYes
Enumeration DateDecember 27, 2011
✔ NPI 1881963502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · F336553
15 GARY ST, Port Jefferson Station, NY 11776
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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 Samghabadi's NPI number?

The NPI number for Jennifer Samghabadi is 1881963502. It was assigned to this individual provider in the NPPES registry on December 27, 2011.

Where is Jennifer Samghabadi located?

Jennifer Samghabadi practices at 15 Gary St, Port Jefferson Station, NY 11776. The listed phone number is (631) 241-1613.

What is Jennifer Samghabadi's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Jennifer Samghabadi was last updated on December 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.