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

Jennifer Elliott

Individual provider Specialist · NPI 1083083356

Jennifer Elliott is a Specialist in Ronkonkoma, New York. Registered with an NPI since 2015.

In the registry since
2015

Practice location Address checks out

463 Ontario St
Ronkonkoma, NY 11779-5109
Phone: (631) 220-4855
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1083083356
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 17, 2015
Last updated in NPPESSeptember 17, 2015
Mailing address463 Ontario St, Ronkonkoma, NY 11779-5109

Other providers in Ronkonkoma