Jenna Davino

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Practice address

4160 Merrick Rd Ste 3
Massapequa, NY 11758-6027

Phone

(516) 590-7410

NPI assigned

Jun 24, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1466726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1790136356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 DORIS PL",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117584004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 MERRICK RD STE 3",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117586027",
            "telephone_number": "516-590-7410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVINO",
        "first_name": "JENNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-24",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Raffaele LCSW PC
• Melissa Ellen Daros, NP-BC
• Neil Jeffrey Dash, M.D.
• Melanie Dasilva
• Ellen C Davey
• Jennifer Marie Davis, MA
• Dawn-Marie Felicetti, DMD P.L.L.C.
• Catherine Day
• Monica Ann Dayboch
• Marsha Days, RN

• Surgical Physician Assistant in Massapequa, NY
• Providers in Massapequa, NY by specialty
• Surgical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; 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.