IndividualActive
Jacquelyn Mitra
NPI 1528882743 · Specialist · Port Jefferson Station, NY
Jacquelyn Mitra is a Specialist provider in Port Jefferson Station, NY (NPI 1528882743).
Provider details
- NPI number
- 1528882743
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Basic profile(49/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% 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
299 Hallock Ave
Port Jefferson Station, NY 11776-1217
Phone: (631) 469-3842
Street-level locationGet directions
Mailing address
350 Herb Hill Rd Apt 217
Glen Cove, NY 11542-4407
Registry dates
- Enumerated
- 2024-11-13
- Last updated
- 2024-11-13
- Certified
- 2024-11-12
Frequently asked questions
- What is Jacquelyn Mitra's NPI number?
- Jacquelyn Mitra's National Provider Identifier (NPI) is 1528882743, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacquelyn Mitra's specialty?
- Jacquelyn Mitra is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Jacquelyn Mitra located?
- Jacquelyn Mitra's practice location on file with NPPES is 299 Hallock Ave, Port Jefferson Station, NY 11776-1217.
- What is Jacquelyn Mitra's phone number?
- The practice phone number listed in the NPPES registry for Jacquelyn Mitra is (631) 469-3842.
- Is Jacquelyn Mitra's NPI active?
- Yes — Jacquelyn Mitra's NPI (1528882743) is active in the NPPES registry as of the last update on 2024-11-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.