Paula A Iacobazzo, PMHNP
Paula A Iacobazzo, PMHNP is a Nurse Practitioner in Port Jefferson, New York. Qualified in 2024, 2 years ago. Practices with John T Mather Memorial Hospital, a 180-clinician group and accepts Medicare assignment. Licensed in New York.
- Years since qualifying
- 2
- Licensed in
- NY
- In the registry since
- 2024
What do these letters mean?
- PMHNP — Psychiatric-Mental Health Nurse Practitioner
- A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.
Practice location Address checks out
75 N Country RdPort Jefferson, NY 11777-2119
Phone: (631) 473-1320
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence 406122 (NY) |
|---|
Record details
| NPI number | 1942031224 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PMHNP |
| Sole proprietor | Yes |
| NPI enumerated | August 9, 2024 |
| Last updated in NPPES | August 9, 2024 |
| Certification date | August 9, 2024 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Group practice | John T Mather Memorial Hospital — 180 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Payments from drug and device companies, 2025
| Food and Beverage | $201 |
|---|
Practises at
- John T Mather Memorial Hospital Of Port Jefferson Hospital · Port Jefferson, NY · listed as John T. Mather Memorial Hospital
Colleagues at John T Mather Memorial Hospital
- George Nicholas Coritsidis, MD Nephrology Physician · Elmhurst, NY
- Melissa S Devlin, MD Critical Care Medicine (Internal Medicine) Physician · Great Neck, NY
- Amna Ejaz, MD Internal Medicine Physician · Port Jefferson, NY
- Kenneth A Hirsch, MD Emergency Medical Services (Emergency Medicine) Physician · Port Jefferson, NY
- Jeremy Klimar Physician Assistant · Medford, NY
- Lien H Lam, MD Emergency Medicine Physician · Patchogue, NY
- Natalya Laskina, PA Medical Physician Assistant · Coram, NY
- Nita Krishna Malik, NP Family Nurse Practitioner · Patchogue, NY
- Dr. Demetrius Daniel Felipe Mazidis, DO Student in an Organized Health Care Education/Training Program · Brooklyn, NY
- Gloria McCann Fortune, NP Psychiatric/Mental Health Nurse Practitioner · Port Jefferson, NY
- Jessica L Pumillo, PA-C Physician Assistant · Port Jefferson, NY
- Raymond Wong Hospitalist Physician · Port Jefferson, NY
Other providers in Port Jefferson
-
Barbara Carlstrom
75 N Country Rd, Port Jefferson, NY 11777-2119 · (631) 473-1320
-
Kim Decastro, CNP, CNM
118 N Country Rd, Port Jefferson, NY 11777-2120 · (631) 473-7171
-
Patricia Fernandez
75 N Country Rd, Port Jefferson, NY 11777-2119 · (631) 473-1320
-
Patricia A Hebron
75 N Country Rd, Port Jefferson, NY 11777-2119 · (631) 473-1320
-
Hurline L Jeudy
200 Belle Terre Rd Ste 110, Port Jefferson, NY 11777-1928 · (631) 476-1010
-
John T. Mather Memorial Hospital
75 N Country Rd, Port Jefferson, NY 11777-2119 · (631) 473-1320
-
Corrine Jurgens
75 N Country Rd, Port Jefferson, NY 11777-2119 · (631) 473-1320
-
Nancy Kennedy
75 N Country Rd, Port Jefferson, NY 11777-2119 · (631) 473-1320