Jaclynn DO, MD
NPI 1053014928 · Student in an Organized Health Care Education/Training Program · Bay Shore, NY
Jaclynn DO, MD is a Student in an Organized Health Care Education/Training Program provider in Bay Shore, NY (NPI 1053014928).
Provider details
- NPI number
- 1053014928
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 1300 Roanoke AveRiverhead, NY 11901-2031Phone: (631) 894-5943
Registry dates
- Enumerated
- 2023-03-22
- Last updated
- 2023-03-22
- Certified
- 2023-03-21
Frequently asked questions
- What is Jaclynn DO's NPI number?
- Jaclynn DO's National Provider Identifier (NPI) is 1053014928, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jaclynn DO's specialty?
- Jaclynn DO is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Jaclynn DO located?
- Jaclynn DO's practice location on file with NPPES is 301 E Main St, Bay Shore, NY 11706-8408.
- What is Jaclynn DO's phone number?
- The practice phone number listed in the NPPES registry for Jaclynn DO is (631) 894-5943.
- Is Jaclynn DO's NPI active?
- Yes — Jaclynn DO's NPI (1053014928) is active in the NPPES registry as of the last update on 2023-03-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.