Jessica Wood Pediatric Nurse Practitioner PLLC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

Legal business name

JESSICA WOOD PEDIATRIC NURSE PRACTITIONER PLLC

Practice address

122 W Roe Blvd
Patchogue, NY 11772-2569

Phone

(631) 260-1314

Fax

(631) 629-6762

NPI assigned

Sep 27, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jessica Wood, NP

Title

Nurse Practitioner

Phone

(631) 275-5545

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1569542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745452800000",
    "number": "1114578416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 BOISENBERRY LN",
            "city": "CENTER MORICHES",
            "state": "NY",
            "postal_code": "119341416",
            "telephone_number": "631-275-5545",
            "fax_number": "631-629-6762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 W ROE BLVD",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722569",
            "telephone_number": "631-260-1314",
            "fax_number": "631-629-6762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA WOOD PEDIATRIC NURSE PRACTITIONER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-27",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "631-275-5545",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Todd M Jarrell, MD
• Jay B Stambler MD Medical PC
• Ronie Jean-Philippe, RPA-C
• Colleen Jeffus, LCSW
• Erica K Jess, LPN
• Zaiwang Paul Jin, MD
• Joann Spinnato Pediatric NP PLLC
• John Shinin, MD.PC
• Sabrina Johnson, MD
• Marvin Joseph, RRT

• Pediatric Nurse Practitioner in Patchogue, NY
• Providers in Patchogue, NY by specialty
• Pediatric Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.

Verify at the official NPI Registry.