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

Individual provider Family Nurse Practitioner · NPI 1346579166

Jacqueline Pandolfo, FNP is a Nurse Practitioner in New Hyde Park, New York. Graduated from State University of New York Downstate Medical Center in 2009, 17 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
17
Trained at
State University of New York Downstate Medical Center
Licensed in
NY
In the registry since
2009
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

269-01 76th Ave
New Hyde Park, NY 11040
Phone: (718) 470-3611
Fax: (718) 343-2961
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F336097-1 (NY)

Record details

NPI number1346579166
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorYes
NPI enumeratedDecember 8, 2009
Last updated in NPPESFebruary 13, 2012

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolSTATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated 2009 (17 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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