Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mrs. Jaclyn Marie Bonventre

Specialist in Center Moriches, NY · enumerated 2013.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1114361219

Verified

See something wrong? Report a correction

Registry record

Entity type Individual (Type 1)

Name Mrs. Jaclyn Marie Bonventre

Sex Female

Practice address 18 Cynthia Ln, Center Moriches, NY, 11934

Phone (631) 909-2065

Enumeration date Apr 20, 2013

Last updated in NPPES Sep 5, 2013

Taxonomy & licenses

174400000X Specialist Other Service Providers · License 484461041 (NY) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Jaclyn Bonventre practice?

The practice location on file with NPPES is in Center Moriches, NY. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Jaclyn Bonventre?

The National Provider Identifier (NPI) for Jaclyn Bonventre is 1114361219, a Type 1 (individual) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-09-05.