Active NPI
Jennifer Ugarriza, RN
- Psychiatric/Mental Health Registered Nurse
- Copiague, NY
National Provider Identifier
1023909173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- 602921
- Practice address
- 1375 Akron St
Copiague, NY 11726-2931 - Phone
- (631) 552-4240
- NPI assigned
- Jul 15, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 602921 | NY | Primary |
Addresses
Primary practice location
1375 Akron St
Copiague, NY 11726-2931
Mailing address
55 Church PL
Copiague, NY 11726-2107
Phone (631) 640-2150
Other names 1
- Jennifer Fagan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 602921 | NY | MD | Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752537600000",
"number": "1023909173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 CHURCH PL",
"city": "COPIAGUE",
"state": "NY",
"postal_code": "117262107",
"telephone_number": "631-640-2150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1375 AKRON ST",
"city": "COPIAGUE",
"state": "NY",
"postal_code": "117262931",
"telephone_number": "631-552-4240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UGARRIZA",
"first_name": "JENNIFER",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-07-15",
"last_updated": "2025-07-15",
"certification_date": "2025-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "NY",
"license": "602921",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "FAGAN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Copiague, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.