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Jennifer Nastasi, D.O.
NPI 1174630263 · Pediatrics Physician · Medford, NY
Jennifer Nastasi, D.O. is a Pediatrics Physician provider in Medford, NY (NPI 1174630263).
Provider details
- NPI number
- 1174630263
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- No
- License
- 228056 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
2799 Route 112 Ste 11
Medford, NY 11763-2535
Phone: (631) 732-5222
Fax: (631) 732-6222
Street-level locationGet directions
Mailing address
14 Hermitage St
Wading River, NY 11792-9204
Registry dates
- Enumerated
- 2006-08-24
- Last updated
- 2016-09-27
Frequently asked questions
- What is Jennifer Nastasi's NPI number?
- Jennifer Nastasi's National Provider Identifier (NPI) is 1174630263, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jennifer Nastasi's specialty?
- Jennifer Nastasi is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Jennifer Nastasi located?
- Jennifer Nastasi's practice location on file with NPPES is 2799 Route 112 Ste 11, Medford, NY 11763-2535.
- What is Jennifer Nastasi's phone number?
- The practice phone number listed in the NPPES registry for Jennifer Nastasi is (631) 732-5222.
- Is Jennifer Nastasi's NPI active?
- Yes — Jennifer Nastasi's NPI (1174630263) is active in the NPPES registry as of the last update on 2016-09-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.