| Dr. Jennifer Mcmonigle Medical, P.c. | |
|
554 Larkfield Rd Ste 10g East Northport NY 11731-4205 | |
| (631) 230-6644 | |
| (631) 230-6645 |
| Full Name | Dr. Jennifer Mcmonigle Medical, P.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 554 Larkfield Rd Ste 10g, East Northport, New York |
| Authorized Official Name and Position | Jennifer Mcmonigle (PRESIDENT) |
| Authorized Official Contact | 6312306644 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Jennifer Mcmonigle Medical, P.c. 554 Larkfield Rd Ste 10g East Northport NY 11731-4205 Ph: (631) 230-6644 | Dr. Jennifer Mcmonigle Medical, P.c. 554 Larkfield Rd Ste 10g East Northport NY 11731-4205 Ph: (631) 230-6644 |
| NPI Number | 1497392617 |
|---|---|
| Provider Enumeration Date | 12/06/2019 |
| Last Update Date | 03/29/2021 |
| Certification Date | 03/29/2021 |
| Medicare PECOS PAC ID | 3173950904 |
|---|---|
| Medicare Enrollment ID | O20200217002587 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497392617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Jennifer M Mcmonigle |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912958802 PECOS PAC ID: 7416979315 Enrollment ID: I20051220000441 |
| Provider Name | Nicole Abbene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326877168 PECOS PAC ID: 1052832110 Enrollment ID: I20250305001229 |
| Provider Name | Laura Feigenbaum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396555918 PECOS PAC ID: 0941721807 Enrollment ID: I20250307000798 |
| Provider Name | Jessica John |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700648565 PECOS PAC ID: 1254852130 Enrollment ID: I20250307001447 |
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