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

MS. Jacqueline Pandolfi, NP

Individual provider Women's Health Nurse Practitioner · NPI 1225197866

MS. Jacqueline Pandolfi, NP is a Nurse Practitioner in Port Jefferson Station, New York. Qualified in 1995, 31 years ago. Practices with Square Care Medical Group LLP, a 72-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
31
Licensed in
NY
In the registry since
2006
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

12 Medical Dr
Port Jefferson Station, NY 11776-1588
Phone: (631) 331-4400
Fax: (631) 331-3190
Show map & directions

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

Additional practice locations (1)

  • 807 S Oyster Bay Rd, Bethpage, NY 11714-1030 — (516) 822-0028

Specialties & licences

Women's Health Nurse Practitioner (primary) Taxonomy 363LW0102X · Licence 388956-1 (NY)

Record details

NPI number1225197866
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedDecember 8, 2006
Last updated in NPPESJanuary 14, 2021
Certification dateJanuary 14, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Square Care Medical Group Llp — 72 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Port Jefferson Station