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

Jasmin Maghsoudlou, FNP

Individual provider Family Nurse Practitioner · NPI 1588437057

Jasmin Maghsoudlou, FNP is a Nurse Practitioner in Manorville, New York. Qualified in 2024, 2 years ago. Practices with Peconic Bay Primary Medical Care, a 72-clinician group and accepts Medicare assignment. Licensed in Connecticut and New York.

Years since qualifying
2
Licensed in
CT, NY
In the registry since
2023
Specialties on file
2
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

496 County Road 111 Bldg D
Manorville, NY 11949-3383
Phone: (888) 321-3627
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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 355053 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 192743 (CT)

Record details

NPI number1588437057
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedNovember 6, 2023
Last updated in NPPESNovember 18, 2024
Certification dateNovember 18, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Peconic Bay Primary Medical Care — 72 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Manorville