Jennifer Quinn Mattera, R.N

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

658721-1 Issued in NY

Practice address

42 Eisenhower Dr
East Quogue, NY 11942-4440

Phone

(631) 723-3336

NPI assigned

Aug 25, 2011

Last updated

Mar 20, 2014By the provider in NPPES

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

Other names 1

• Miss Jennifer Quinn Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1314230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395273600000",
    "number": "1831479500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 EISENHOWER DRIVE",
            "city": "EAST QUOGUE",
            "state": "NY",
            "postal_code": "11942",
            "telephone_number": "631-723-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 EISENHOWER DR",
            "city": "EAST QUOGUE",
            "state": "NY",
            "postal_code": "119424440",
            "telephone_number": "631-723-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINN MATTERA",
        "first_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "credential": "R.N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-25",
        "last_updated": "2014-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "658721-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "QUINN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Victoria A. Mulvey, LMHC
• Stacey Naglieri
• Madison Taylor Oakley
• Keith Aro Patalinjug, PT
• Tara Ann Pucci, LPN
• John J Romano, D.D.S.
• Judith Alicia Rose, LCSW
• Jennifer Lynn Russo
• Greta Sataite, LAC.
• Farrand Elizabeth Seltenreich, CCC-SLP

• Registered Nurse in East Quogue, NY
• Providers in East Quogue, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2014; 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.