MS. GABRIELLE LUISA MASSUCCI (NPI# 1497366918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497366918 |
| Entity Type | Individual |
| Full Name | MS. GABRIELLE LUISA MASSUCCI |
| Credential | MS CF-SLP TSSLD |
| Practice Address |
299 Hallock Ave Port Jefferson Station NY 11776-1217 |
| Mailing Address |
352 Avenue C Ronkonkoma NY 11779-1945 |
| Practice Telephone | 6314734284 |
| Mailing Telephone | 6319017039 |
| Enumeration Date | 2020-08-10 |
| Last Update Date | 2020-08-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
299 HALLOCK AVE |
| City | PORT JEFFERSON STATION |
| State | NY |
| Zip Code | 11776-1217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558507210 | New York Therapy Placement Services Inc. | Early Intervention Provider Agency | 299 Hallock Ave, Port Jefferson Station, NY 11776-1217 | 2008-12-31 |
| 1659987162 | Jared Tyler Lamm | Occupational Therapist | 299 Hallock Ave, Port Jefferson Station, NY 11776-1217 | 2020-09-20 |
| 1831701754 | Kayla Thorsen | Occupational Therapist | 299 Hallock Ave, Port Jefferson Station, NY 11776-1217 | 2020-08-21 |
| 1023635521 | Ashley Elizabeth Vetter | Student in an Organized Health Care Education/Training Program | 299 Hallock Ave, Port Jefferson Station, NY 11776-1217 | 2020-06-30 |
| 1730705641 | Courtney Rae Bochicchio | Speech-Language Pathologist | 299 Hallock Ave, Port Jefferson Station, NY 11776-1217 | 2020-06-17 |
| 1053947457 | Kara Nicole Spinelli | Occupational Therapist | 299 Hallock Ave, Port Jefferson Station, NY 11776-1217 | 2020-03-17 |
| 1366080574 | Meaghan Catherine Gallery | Physical Therapist | 299 Hallock Ave, Port Jefferson Station, NY 11776-1217 | 2019-12-18 |
| 1851933691 | Alexis Mariah Panariello | Occupational Therapist | 299 Hallock Ave, Port Jefferson Station, NY 11776-1217 | 2019-10-14 |
| 1679121107 | Salema Shirelle Griffith | Specialist | 299 Hallock Ave, Port Jefferson Station, NY 11776-1217 | 2019-08-28 |
| 1568016079 | Katelyn Elizabeth Kenah | Student in an Organized Health Care Education/Training Program | 299 Hallock Ave, Port Jefferson Station, NY 11776-1217 | 2019-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205304219 | Melissa E Germano | Acupuncturist | 5225 Nesconset Highway Rte 347, Davis Professional Park Building 1 Suite 1, Port Jefferson Station, NY 11776 | 2018-11-07 |
| 1366962185 | Michael Louis Scicchitano Sr. | Physical Therapist | 3 Colgate Street, Port Jefferson Station, NY 11776 | 2017-06-22 |
| 1063969517 | Dana Adamkiewicz | Acupuncturist | 432 North Bicycle Path, Port Jefferson Station, NY 11776 | 2016-09-01 |
| 1538531819 | Jacqueline Rambo | Specialist | 5225 Nesconset Highway Suite 30, Port Jefferson Station, NY 11776 | 2015-10-26 |
| 1821474297 | Michael Leuci | Social Worker | 3 Premier Court, Port Jefferson Station, NY 11776 | 2015-08-07 |
| 1578978078 | Carol A. Palmer I | Acupuncturist | 34 Champlain St, Port Jefferson Station, NY 11776 | 2014-06-24 |
| 1659783371 | Janette M Sperandeo | Nurse Practitioner | 5 Roosevelt Avenue, Port Jefferson Station, NY 11776 | 2014-05-29 |
| 1578973079 | James Buchrieser | Specialist | 525 Nesconset Highway Suite 30, Port Jefferson Station, NY 11776 | 2014-05-06 |
| 1871923227 | Duran Thomas Murphy | Licensed Practical Nurse | 8 Carolyn Road, Port Jefferson Station, NY 11776 | 2013-11-22 |
| 1699104562 | Julio Genao | Massage Therapist | 213 Jayne Blvd, Portjefferson Station, NY 11776 | 2013-11-01 |
| Find all providers in zip 11776 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730576687 | Tracy Yun-shin Chang | Student in an Organized Health Care Education/Training Program | 78 Lincoln Ave, Port Jefferson Station, NY 11776-1350 | 2015-04-17 |
| 1265629992 | Joey Labso Pascasio | Student in an Organized Health Care Education/Training Program | 22 Wilson St, Port Jefferson Station, NY 11776-3849 | 2007-09-26 |
| 1538365598 | Nipun Gupta | Student in an Organized Health Care Education/Training Program | 198 Village Green Dr, Port Jefferson Station, NY 11776-4527 | 2007-06-26 |
| 1023635521 | Ashley Elizabeth Vetter | Student in an Organized Health Care Education/Training Program | 299 Hallock Ave, Port Jefferson Station, NY 11776-1217 | 2020-06-30 |
| 1568016079 | Katelyn Elizabeth Kenah | Student in an Organized Health Care Education/Training Program | 299 Hallock Ave, Port Jefferson Station, NY 11776-1217 | 2019-08-01 |
| 1023661170 | Gina Marie Rubino | Student in an Organized Health Care Education/Training Program | 299 Hallock Ave, Port Jefferson Station, NY 11776-1217 | 2019-07-18 |
| 1548826266 | Christina Lark | Student in an Organized Health Care Education/Training Program | 299 Hallock Ave, Port Jefferson Station, NY 11776-1217 | 2019-05-17 |
| 1750873196 | Dani Elizabeth Ackerman | Student in an Organized Health Care Education/Training Program | 299 Hallock Ave, Port Jefferson Station, NY 11776-1217 | 2018-06-01 |
| 1811488521 | Danielle Kossack | Student in an Organized Health Care Education/Training Program | 299 Hallock Ave, Port Jefferson Station, NY 11776-1217 | 2018-05-29 |
| 1609394162 | Bridget Marian Carey | Student in an Organized Health Care Education/Training Program | 5225 Nesconset Hwy Ste 30, Port Jefferson Station, NY 11776-2060 | 2017-09-05 |
| Find all providers in PORT JEFFERSON STATION | ||||
| City | PORT JEFFERSON STATION |
| Zip Code | 11776 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.