MEDICARE: MS. JENNIFER M MCCARTHY RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	N26046-01	NY

General Provider Information

NPI Number	:	1114240488
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JENNIFER M MCCARTHY RN

Provider Business Mailing Address
First Line	:	60 S COLEMAN RD
Second Line	:
City	:	CENTEREACH
State	:	NY
Zip	:	11720-4437
Country	:	US
Telephone Number	:	631-339-8487
Fax Number	:

Provider Business Practice Location Address
First Line	:	60 S COLEMAN RD
Second Line	:
City	:	CENTEREACH
State	:	NY
Zip	:	11720-4437
Country	:	US
Telephone Number	:	631-339-8487
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/01/2010
Last Update Date	:	03/11/2026

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