Jacqueline Pandolfi, N.P.
Jacqueline Pandolfi, N.P. is a Women's Health Nurse Practitioner in Port Jefferson Station, NY, registered under NPI 1225197866.
Getting there
The practice address on file is 12 MEDICAL DR, Port Jefferson Station, NY 11776. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 388956-1 | NY | Women's Health Nurse Practitioner primary |
This provider holds licence 388956-1 issued in NY. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Nurse Practitioner
- PAC ID
- 6507840428
Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Women's Health covers
Definition to come... NUCC Health Care Provider Taxonomy, code 363LW0102X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1225197866 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Dec 8, 2006 |
| Last updated | Jan 14, 2021 |
| Status | Active |
| Sole proprietor | No |
| Credential | N.P. |
| Practice address |
12 MEDICAL DR Port Jefferson Station, NY 11776 (631) 331-4400 Fax (631) 331-3190 |
| Mailing address |
900 MERCHANTS CONCOURSE STE 216 Westbury, NY 11590 |
| Other identifiers |
388956
(NY) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 2 | 2 | 5 | 1 | 9 | 7 | 8 | 6 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 2 | 4 | 5 | 2 | 9 | 5 | 8 | 3 |
Sum = 64 · next multiple of 10 = 70 · check digit = 6 · actual last digit = 6
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.