Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jaclyn Janet Malone

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1720959919

Jaclyn Janet Malone is a Nurse Practitioner in Massapequa, New York. Qualified in 2025, 1 year ago. Practices with Priyadarshan Bajpayi MD PC, a 13-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
1
Licensed in
NY
In the registry since
2025
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

5550 Merrick Rd
Massapequa, NY 11758-6238
Phone: (631) 673-3233
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 407541 (NY)

Record details

NPI number1720959919
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 12, 2025
Last updated in NPPESSeptember 12, 2025
Certification dateSeptember 12, 2025
Mailing address5550 Merrick Rd, Massapequa, NY 11758-6238

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Priyadarshan Bajpayi Md Pc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Massapequa