DONNA JEAN DOHERTY AGNP-BC NPI 1427669654

NPI Information

  • NPI: 1427669654
  • Provider Name: DONNA JEAN DOHERTY, AGNP-BC
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3003 NEW HYDE PARK RD
    NEW HYDE PARK, NY
    ZIP 11042
  • Phone: (516) 327-0001

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NPI Details

Donna Jean Doherty, AGNP-BC is a gerontology nurse practitioner in New Hyde Park, NY with 6 years of experience. Donna Jean Doherty, AGNP-BC NPI is 1427669654. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3003 NEW HYDE PARK RD
NEW HYDE PARK, NY
ZIP 11042-206
Phone: (516) 327-0001

The NPI 1427669654 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/12/2020 and was last updated on 11/27/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LG0600XNurse PractitionerGerontology309821NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1309821OTHERNEW YORKNYS LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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