Individual provider Active NPI

Jennifer McNaughton, DPT

  • Specialist
  • New Hyde Park, NY
National Provider Identifier
1386197804
Registry record updated Aug 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
039983-1 Issued in NY
Practice address
1730 Lakeville Rd
New Hyde Park, NY 11040-2506
Phone
(516) 326-4580
Fax
(516) 326-0793
NPI assigned
Aug 2, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 039983-1 NY Primary

Addresses

Primary practice location

1730 Lakeville Rd
New Hyde Park, NY 11040-2506

Mailing address

1730 Lakeville Rd
New Hyde Park, NY 11040-2506
Phone (516) 326-4580

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161012000357 NY Practitioner - Physical Therapist in Private Practice 4880982529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

550 Mamaroneck Ave
Suite 104
Harrison, NY 10528-1612
Phone (914) 777-3737

Merit-based Incentive Payment System (MIPS)

Final score
72.78 of 100Reported as individual
Quality
65.44
Promoting interoperability
75
Improvement activities
40
Cost
64.68

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
039983-1NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path CurrentSince Sep 29, 2018 Accepting new patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC CurrentSince Sep 29, 2018 Accepting new patients

Locations

1063 Willis Ave
Albertson, NY 11507
Phone (516) 656-7776

939 Atlantic Ave
Baldwin, NY 11510
Phone (516) 517-0404

550 Mamaroneck Ave
Ste 104
Harrison, NY 10528
Phone (914) 777-3737

3961 Long Beach Rd
Island Park, NY 11558
Phone (516) 599-8734

225 Merrick Rd
Lynbrook, NY 11563
Phone (516) 599-8734

1730 Lakeville Rd
New Hyde Park, NY 11040
Phone (516) 326-4580

175 Memorial Hwy
Ste 2-3
New Rochelle, NY 10801
Phone (914) 235-5354

389 Fort Salonga Rd
Northport, NY 11768
Phone (631) 261-0444

57 Old Shore Rd
Port Washington, NY 11050
Phone (516) 464-7959

1377 Motor Pkwy
Ste 307
Ronkonkoma, NY 11749

760 Montauk Hwy
Water Mill, NY 11976
Phone (347) 754-7952

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1470096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470096000000",
    "number": "1386197804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 LAKEVILLE RD",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110402506",
            "telephone_number": "516-326-4580",
            "fax_number": "516-326-0793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 LAKEVILLE RD",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110402506",
            "telephone_number": "516-326-4580",
            "fax_number": "516-326-0793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNAUGHTON",
        "first_name": "JENNIFER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-02",
        "last_updated": "2016-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "039983-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.