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

Jaclyn Mae Chotowicky

Individual provider Acute Care Nurse Practitioner · NPI 1104591437

Jaclyn Mae Chotowicky is a Nurse Practitioner in Riverhead, New York. Graduated from Hofstra North Shore - Lij School of Medicine in 2021, 5 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Trained at
Hofstra North Shore - Lij School of Medicine
Licensed in
NY
In the registry since
2021

Practice location Address checks out

1300 Roanoke Ave
Riverhead, NY 11901-2031
Phone: (516) 661-1721
Show map & directions

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

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 432092 (NY)

Record details

NPI number1104591437
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 10, 2021
Last updated in NPPESSeptember 9, 2021
Certification dateSeptember 9, 2021
Mailing addressPo Box 3501, New Hyde Park, NY 11040-7501

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolHOFSTRA NORTH SHORE - LIJ SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Riverhead