MS. JEANINE ROSE DOODY (RN, ANP,ONP) – Adult Health Nurse Practitioner, NPI 1497877971

MS. JEANINE ROSE DOODY (RN, ANP,ONP) is a healthcare provider. based in New york, New York. specializing in NURSE PRACTITIONER. They hold the professional credentials RN, ANP,ONP. They hold a License No. 370028 (NY). The NPI Number for MS. JEANINE ROSE DOODY (RN, ANP,ONP) is 1497877971

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
MS. JEANINE ROSE DOODY (RN, ANP,ONP)
NPI
1497877971
Phone
(212) 639-5873
Address
1275 YORK AVE
Enumeration Date
4 April 2007
Last Update Date
28 October 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9085423007
Graduation Year
2003 (23 years ago)
PAC ID
6507049418
Group Practice PAC ID
1153619291
Professional Enrollment ID
I20171219001399
Address ID
NJ077483052MI480XXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

7,515 NURSE PRACTITIONER in NJ

Provider Addresses for MS. JEANINE ROSE DOODY (RN, ANP,ONP)

  • 1275 YORK AVE

    C-869

    NEW YORK, NY 100656007

    Phone: (212) 639-5873

    Type: Mailing

  • 480 RED HILL RD

    MIDDLETOWN, NJ 077483052

    Phone: (212) 639-3870

    Fax: (646) 227-7106

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-12-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110330000100INurse PractitionerNYTBD
I20171219001399INurse PractitionerNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 10065)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1153619291View full group profile
NameSpecialtyState
Physical Medicine And RehabilitationNY
-NY
Interventional Radiology, Diagnostic RadiologyNY
Diagnostic RadiologyNC
Nurse PractitionerNY
Clinical PsychologistTX
Nurse PractitionerNJ
Anesthesiology, Internal Medicine, Pain Management, Pain Management, AnesthesiologyNJ
Nurse PractitionerNY
Medical OncologyNY

Reviews

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Frequently asked questions

What number should I use to identify MS. JEANINE ROSE DOODY (RN, ANP,ONP) for billing?
Administrative and clinical systems typically use NPI 1497877971 for MS. JEANINE ROSE DOODY (RN, ANP,ONP).
Should I treat MS. JEANINE ROSE DOODY (RN, ANP,ONP) as an active provider?
Patients and plans typically see MS. JEANINE ROSE DOODY (RN, ANP,ONP) as active in the national extract.
What services align with MS. JEANINE ROSE DOODY (RN, ANP,ONP)'s listing?
MS. JEANINE ROSE DOODY (RN, ANP,ONP)'s public classification highlights Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to MS. JEANINE ROSE DOODY (RN, ANP,ONP)?
The directory associates MS. JEANINE ROSE DOODY (RN, ANP,ONP) with New York, New York. Check all listed addresses for suites or satellite offices.
Who maintains MS. JEANINE ROSE DOODY (RN, ANP,ONP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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