MRS. JENNIFER DOOLAN (NPI# 1346339744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346339744 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER DOOLAN |
| Credential | NP |
| Practice Address |
12 Brewster Ln East Setauket NY 11733-2922 |
| Mailing Address |
200 Belle Terre Rd Port Jefferson NY 11777-1928 |
| Practice Telephone | 6319414480 |
| Practice Fax Number | 6319414054 |
| Mailing Telephone | 6314746351 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2016-05-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
F3040001 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | LICENSE | F3040001 | 01 |
| NY | DEA | MD1232153 | 01 |
| Street Address |
12 BREWSTER LN |
| City | EAST SETAUKET |
| State | NY |
| Zip Code | 11733-2922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154417848 | Tracie A Ackerman | Nurse Practitioner | 12 Brewster Ln, East Setauket, NY 11733-2922 | 2006-10-04 |
| 1003327842 | Messina Acupuncture P.C. | Acupuncturist | 12 Brewster Ln, East Setauket, NY 11733-2922 | 2017-10-19 |
| 1104363175 | Daniel Patrick Messina | Acupuncturist | 12 Brewster Ln, East Setauket, NY 11733-2922 | 2017-01-27 |
| 1003118969 | Imagine Chiropractic Healthcare, Pllc | Chiropractor | 12 Brewster Ln, East Setauket, NY 11733-2922 | 2010-11-29 |
| 1790013498 | Robert J Long | Nurse Practitioner | 12 Brewster Ln, East Setauket, NY 11733-2922 | 2009-11-18 |
| 1760547202 | James Gucciardi | Chiropractor | 12 Brewster Ln, East Setauket, NY 11733-2922 | 2006-12-26 |
| 1538224068 | Kenneth Nuss Jr. | Chiropractor | 12 Brewster Ln, East Setauket, NY 11733-2922 | 2006-12-26 |
| 1649369067 | Setauket Primary Medical Care PC | Family Medicine | 12 Brewster Ln, East Setauket, NY 11733-2922 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063033991 | Olivia Carlino | Registered Nurse | 28 Buckingham Meadow Road, Setauket, NY 11733 | 2020-05-01 |
| 1295392553 | Johnny Slade | Emergency Medicine | 11 Bridge Rd, East Setauket, NY 11733 | 2019-05-22 |
| 1275060345 | Donna M Sweeney | Specialist | 14 Research Way East, East Setauket, NY 11733 | 2017-05-18 |
| 1659806388 | Erin Kunz | Podiatrist | Stony Brook Surgical Associates, 37 Research Way, Setauket- East Setauket, NY 11733 | 2017-05-01 |
| 1285180521 | Allison M Pinard | Specialist/Technologist | 149 Old Field Road, Setauket, NY 11733 | 2016-08-28 |
| 1578915096 | Kristyn Matovich | Behavioral Analyst | 5 Kenwood Street, East Setauket, NY 11733 | 2016-07-08 |
| 1306258900 | Patricia M. Ferrara | Licensed Practical Nurse | 181 N Bellemeade Rd, Setauket, NY 11733 | 2014-05-30 |
| 1871922898 | Island Concierge Medical Services Pllc | Internal Medicine | 3400 Nesconset Hwy. Suite 103, East Setauket, NY 11733 | 2013-11-12 |
| 1669718219 | Sheila Marie Vergith | Physician Assistant | 17 Coraway Road, Setauket, NY 11733 | 2012-12-28 |
| 1285980474 | Jennifer L Monastero | Physical Therapist | 12 Technology Dr., Unit 2, E. Setauket, NY 11733 | 2012-07-25 |
| Find all providers in zip 11733 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245770734 | Laura Bell | Nurse Practitioner | 17 Allyson Pl, East Setauket, NY 11733-2000 | 2017-03-02 |
| 1043534373 | Satu M Svoboda | Nurse Practitioner | 205 Bellemeade Rd, East Setauket, NY 11733-3483 | 2010-03-15 |
| 1174783658 | Kathleen Kelly Lyon | Nurse Practitioner | 24 Research Way Ste 500, East Setauket, NY 11733-3470 | 2008-06-10 |
| 1043330236 | Mary Mango | Nurse Practitioner | 220 N Belle Mead Rd Ste A, East Setauket, NY 11733-3458 | 2007-03-30 |
| 1538216080 | Lorri Nicolle Savarese | Nurse Practitioner | 306 Sheep Pasture Rd, East Setauket, NY 11733-3611 | 2007-01-05 |
| 1154417848 | Tracie A Ackerman | Nurse Practitioner | 12 Brewster Ln, East Setauket, NY 11733-2922 | 2006-10-04 |
| 1093734139 | Harold Flockhart | Nurse Practitioner | 12 Campus Dr, East Setauket, NY 11733-1149 | 2006-07-19 |
| 1124018239 | Carol Ann Martin | Nurse Practitioner | 3 Technology Dr, Suite 700, East Setauket, NY 11733-4064 | 2005-10-28 |
| 1982205894 | Harold Flockhart Adult Health Np PC | Nurse Practitioner | 12 Campus Dr, East Setauket, NY 11733-1149 | 2020-11-06 |
| 1033710009 | Kelly Ann O'toole | Nurse Practitioner | 4 Technology Dr Ste 210, East Setauket, NY 11733-4068 | 2020-11-05 |
| Find all providers in EAST SETAUKET | ||||
| City | EAST SETAUKET |
| Zip Code | 11733 |
Please comment or provide details below to improve the information on MRS. JENNIFER DOOLAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.