Paula A. Iacobazzo, PMHNP
NPI 1942031224ActiveIndividual· Nurse Practitioner· Port Jefferson, NY
Nurse Practitioner (PMHNP) with John T Mather Memorial Hospital, practicing in Port Jefferson, New York. Enrolled in Medicare as practitioner - nurse practitioner. Braeburn Inc. was the largest of 2 companies reporting payments in 2025, $201.04 in all, mostly food and beverage. Lists John T Mather Memorial Hospital of Port Jefferson as a hospital affiliation.
Overview
| NPI | 1942031224 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PMHNP |
| Sole proprietor | Yes |
| NPI issued | Aug 9, 2024 |
| Last updated in NPPES | Aug 9, 2024 |
| Certified by provider | Aug 9, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 406122 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (NY) |
|---|
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- John T Mather Memorial HospitalPort Jefferson, NY · 175 clinicians
Hospital affiliation
- John T Mather Memorial Hospital of Port JeffersonPort Jefferson, NY
Industry payments (Open Payments)
- 2025$201.04 · 4 payments from 2 companies
- 2024$29.18 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Braeburn Inc. | $116.67 | 1 |
| Indivior Inc. | $84.37 | 3 |
What the 2025 payments were for
- Food and Beverage$201.04 · 4 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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