JENNIFER MASSARO MSED NPI 1902169444

NPI Information

  • NPI: 1902169444
  • Provider Name: JENNIFER MASSARO, MSED
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • Address: 10 NEW MILL RD
    SMITHTOWN, NY
    ZIP 11787
  • Phone: (631) 741-4790

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NPI Details

Jennifer Massaro, MSED is a specialist in Smithtown, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Jennifer Massaro, MSED NPI is 1902169444. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10 NEW MILL RD
SMITHTOWN, NY
ZIP 11787-324
Phone: (631) 741-4790

The enumeration date for this NPI number is 6/20/2012 and was last updated on 10/24/2023.

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
1174400000XSpecialist506611111NEW YORKYes
2103K00000XBehavior Analyst000213NEW YORKNo

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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