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Active NPI 1528487733 Individual Practitioner Female Practitioner

Jacqueline Dodoo , LPN

Licensed Practical Nurse • Elmhurst, NY

Professional Overview & Biography Verified Profile Summary

Jacqueline Dodoo, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Elmhurst, NY. Practice services are available at 9131 QUEENS BLVD STE 201 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9131 Queens Blvd Ste 201

Elmhurst, NY 113735511

Telephone 7188192713
Fax 7186723970
Associated Practice Facility / Clinic
🏢 St Mary's Community Care Professional, Corp. Facility NPI 1063635142

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Elmhurst, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.0 Yrs
Regional Practice Density
43 Specialists

Practicing in Elmhurst, NY (23738 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License NY 300387

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
113360276 (NY)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active April 15, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location April 15, 2014

Registered at 9131 QUEENS BLVD STE 201, ELMHURST, NY 113735511 (Tel: 7188192713)

📍
Updated Business Mailing Address April 15, 2014

Registered at 9131 QUEENS BLVD STE 201, ELMHURST, NY 113735511 (Tel: 7188192713)

👤
Provider Name / Credentials Updated April 15, 2014

Recorded as JACQUELINE DODOO, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 15, 2014

Licensed Practical Nurse (License #300387 in NY)

🟢
Initial NPI Registration & Enumeration April 15, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1528487733
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 15, 2014
Last Update: April 15, 2014
Sole Proprietor: No
Update or Correct Profile

Mailing Address

9131 Queens Blvd Ste 201

Elmhurst, NY 113735511

Phone: 7188192713

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.