Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1689816340 Individual Practitioner Female Practitioner

Jaclyn Fallon

Pediatrics • Garnerville, NY

Professional Overview & Biography Verified Profile Summary

Jaclyn Fallon is a registered healthcare professional specializing in Pediatrics in Garnerville, NY. Practice services are available at 171 RAMAPO RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

171 Ramapo Rd

Garnerville, NY 109231552

Telephone 8459471772
Fax 8459474487
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Garnerville, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 24.1 Yrs
Regional Practice Density
8 Specialists

Practicing in Garnerville, NY (6127 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

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License NY 264124

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
03464413 (NY)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
NPI 1003825258

Doctor of Medicine (M.D.)

NPI 1043388622

Doctor of Medicine (M.D.)

NPI 1053421834

Doctor of Medicine (M.D.)

NPI 1285714048

Doctor of Medicine (M.D.)

NPI 1518279736

Doctor of Medicine (M.D.)

Nicole Miles , APRN

Nurse Practitioner - Pediatrics

NPI 1588443139

Advanced Practice Registered Nurse

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 23, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location July 23, 2013

Registered at 171 RAMAPO RD, GARNERVILLE, NY 109231552 (Tel: 8459471772)

📍
Updated Business Mailing Address July 23, 2013

Registered at 22 SAW MILL RIVER RD, 2ND FLOOR, HAWTHORNE, NY 105321533 (Tel: 8459471772)

👤
Provider Name / Credentials Updated July 23, 2013

Recorded as JACLYN FALLON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2013

Pediatrics (License #264124 in NY)

🟢
Initial NPI Registration & Enumeration March 27, 2009

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: 1689816340
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 27, 2009
Last Update: July 23, 2013
Sole Proprietor: No

Mailing Address

22 Saw Mill River Rd, 2nd Floor

Hawthorne, NY 105321533

Phone: 8459471772

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.