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

Nneka Jagdeo

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1568122075

Nneka Jagdeo is a Nurse Practitioner in Patchogue, New York. Qualified in 2021, 5 years ago. Practices with New York University, a 5,884-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

157 E Woodside Ave
Patchogue, NY 11772-1421
Phone: (631) 475-1900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11116 145th St, Jamaica, NY 11435-5819 — (347) 327-7658

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 348601 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1568122075
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 23, 2021
Last updated in NPPESApril 14, 2022
Certification dateApril 14, 2022
Mailing address11116 145th St, Jamaica, NY 11435-5819

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Patchogue