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

MS. Jacqueline A Ammirata, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1104938455

MS. Jacqueline A Ammirata, MD is an Obstetrics/Gynecology in West Islip, New York. Graduated from State University of New York at Stony Brook, School of Medicine in 1993, 33 years ago. Practices with University Associates in Obstetrics and Gynecology University Faculty, a 115-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
33
Trained at
State University of New York at Stony Brook, School of Medicine
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

320 Montauk Highway South Bay OB GYN Pc
West Islip, NY 11795-4401
Phone: (631) 587-2500
Fax: (631) 587-0292
Show map & directions

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

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 2060531 (NY)

Record details

NPI number1104938455
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 31, 2006
Last updated in NPPESOctober 14, 2021
Certification dateOctober 14, 2021

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolSTATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated 1993 (33 years in practice)
Group practice University Associates In Obstetrics And Gynecology University Faculty — 115 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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