What is Jaclyn Bonventre's NPI number?

Jaclyn Bonventre's National Provider Identifier (NPI) is 1114361219, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jaclyn Bonventre's specialty?

Jaclyn Bonventre is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).

Where is Jaclyn Bonventre located?

Jaclyn Bonventre's practice location on file with NPPES is 18 Cynthia Ln, Center Moriches, NY 11934-2602.

What is Jaclyn Bonventre's phone number?

The practice phone number listed in the NPPES registry for Jaclyn Bonventre is (631) 909-2065.

Is Jaclyn Bonventre's NPI active?

Yes — Jaclyn Bonventre's NPI (1114361219) is active in the NPPES registry as of the last update on 2013-09-05.

IndividualActive

Jaclyn Bonventre

NPI 1114361219 · Specialist · Center Moriches, NY

Jaclyn Bonventre is a Specialist provider in Center Moriches, NY (NPI 1114361219).

Provider details

NPI number: 1114361219
Entity type: Individual
Primary specialty: SpecialistOther Service Providers
Sex: Female
Sole proprietor: No
License: 484461041 (NY)

Specialties & taxonomies

SpecialistPrimary174400000XLicense 484461041 (NY)
Other Service Providers

Profile Score

Detailed profile(78/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
13 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

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

18 Cynthia Ln

Center Moriches, NY 11934-2602

Phone: (631) 909-2065

Street-level locationGet directions

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Mailing address