MICHELE M DOYLE
NPI 1902344492
Nurse Practitioner - Family in Port Jervis, NY

Active since February 06, 2017CLIA 33D2129491 · Waiver
32 CANAL ST, PORT JERVIS, NY 12771(845) 856-6671(845) 858-9903 Get Directions Write a Review

NPPES record last updated: March 28, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 28, 2017, Feb 20, 2017, Feb 6, 2017 (3 updates tracked since 2017).

About Michele M Doyle NPPES

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

MICHELE M DOYLE (NPI 1902344492) is a healthcare organization registered as a family in Port Jervis, New York and active in the NPI registry since February 2017. The organization holds a CLIA Waiver certificate valid through April 19, 2027 and lists Michele M Doyle, Owner, as its authorized official.

NPPES Registry Identity

NPI1902344492
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameMICHELE M DOYLE
Location Address32 CANAL STPort Jervis, NY 12771-1638
Mailing Address32 Canal StPort Jervis, NY 12771-1638 · (845) 856-6671 · Fax (845) 858-9903
Fax(845) 858-9903
Organization SubpartNo
Authorized OfficialMichele M DoyleOwner · (845) 856-6671
Enumeration DateFebruary 6, 2017
Last NPPES UpdateMarch 28, 20173 updates tracked since enumeration
NPI 1902344492 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 · F337610
32 CANAL ST, Port Jervis, NY 12771

Other Identifiers 1

Medicaid03499112NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2129491

Michele M Doyle Fnp · Port Jervis, NY
Active · expires Apr 19, 2027
CLIA Number33D2129491
Laboratory TypePhysician Office
Certificate Effective DateApril 20, 2025
Certificate Expiration DateApril 19, 2027
Laboratory DirectorMs. Michele M. Doyle
Laboratory Phone(845) 856-6671
Laboratory LocationMichele M Doyle Fnp1 Cole Street, Port Jervis, NY 12771
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Ophthalmology
32 CANAL ST
PORT JERVIS, NY 12771

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902344492, enumerated as an "organization" on February 06, 2017.

The provider is located at 32 CANAL ST PORT JERVIS, NY 12771 and the phone number is (845) 856-6671.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.