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Jaclyn Birnbaum
NPI 1558625368 · Specialist · East Northport, NY
Jaclyn Birnbaum is a Specialist provider in East Northport, NY (NPI 1558625368).
Provider details
- NPI number
- 1558625368
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs 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
3 Graystone Dr
East Northport, NY 11731-4404
Phone: (631) 368-1002
Street-level locationGet directions
Mailing address
3 Graystone Dr
East Northport, NY 11731-4404
Registry dates
- Enumerated
- 2012-06-26
- Last updated
- 2016-03-31
Frequently asked questions
- What is Jaclyn Birnbaum's NPI number?
- Jaclyn Birnbaum's National Provider Identifier (NPI) is 1558625368, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jaclyn Birnbaum's specialty?
- Jaclyn Birnbaum is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Jaclyn Birnbaum located?
- Jaclyn Birnbaum's practice location on file with NPPES is 3 Graystone Dr, East Northport, NY 11731-4404.
- What is Jaclyn Birnbaum's phone number?
- The practice phone number listed in the NPPES registry for Jaclyn Birnbaum is (631) 368-1002.
- Is Jaclyn Birnbaum's NPI active?
- Yes — Jaclyn Birnbaum's NPI (1558625368) is active in the NPPES registry as of the last update on 2016-03-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.