What is Jacqueline Medina's NPI number?

Jacqueline Medina's National Provider Identifier (NPI) is 1639886781, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jacqueline Medina's specialty?

Jacqueline Medina is listed in the NPPES registry with a primary specialty of Registered Nurse (Nursing Service Providers).

Where is Jacqueline Medina located?

Jacqueline Medina's practice location on file with NPPES is 127 W 8th St, Deer Park, NY 11729-5015.

What is Jacqueline Medina's phone number?

The practice phone number listed in the NPPES registry for Jacqueline Medina is (631) 838-1504.

Is Jacqueline Medina's NPI active?

Yes — Jacqueline Medina's NPI (1639886781) is active in the NPPES registry as of the last update on 2022-10-28.

IndividualActive

Jacqueline Medina, RN

NPI 1639886781 · Registered Nurse · Deer Park, NY

Jacqueline Medina, RN is a Registered Nurse provider in Deer Park, NY (NPI 1639886781).

Provider details

NPI number: 1639886781
Entity type: Individual
Primary specialty: Registered NurseNursing Service Providers
Credential: RN
Sex: Female
Sole proprietor: Yes
License: 858734-01 (NY)

Specialties & taxonomies

Registered NursePrimary163W00000XLicense 858734-01 (NY)
Nursing Service Providers

Profile Score

Established profile(59/100 index)

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
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

127 W 8th St

Deer Park, NY 11729-5015

Phone: (631) 838-1504

Street-level locationGet directions

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Mailing address