JENNIFER KAYLIN PUCILOSKI (NPI# 1598202665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598202665 |
| Entity Type | Individual |
| Full Name | JENNIFER KAYLIN PUCILOSKI |
| Credential | PA |
| Practice Address |
125 Mineola Avenue Suite 200 Roslyn Heights NY 11577 |
| Practice Telephone | 5166165500 |
| Mailing Telephone | 5166165500 |
| Mailing Fax Number | 8885026582 |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2018-04-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
125 MINEOLA AVENUE SUITE 200 |
| City | ROSLYN HEIGHTS |
| State | NY |
| Zip Code | 11577 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275059669 | Roslyn Family Dental, P.C. | Dentist | 86 Mineola Ave, Roslyn Heights, NY 11577 | 2017-08-17 |
| 1740719822 | Kids R Us Services | Early Intervention Provider Agency | 68 Macgregor Ave, Roslyn Heights, NY 11577 | 2017-06-12 |
| 1821547746 | Jason David Rosenfeld | Dentist | 216 Willis Ave Ste 1, Roslyn Heights, NY 11577 | 2016-10-04 |
| 1255701892 | Child Services Inc Ny | Case Management | 59 Colony Lane, Roslyn Heights, NY 11577 | 2015-09-25 |
| 1669881405 | Niaz Nassiri | Specialist | 20 Jane St., Roslyn Hts, NY 11577 | 2014-08-06 |
| 1578812525 | Lori Karson | Specialist | 42 Midland Road, Roslyn Heights, NY 11577 | 2012-09-06 |
| 1558627604 | Rona T Weiss | Psychologist | 220 South Service Road, Suite 15, Roslyn Heights, NY 11577 | 2012-04-03 |
| 1679848196 | Kuo-chung Chang | Acupuncturist | 59 Mineola Ave, Roslyn Heights, NY 11577 | 2012-03-16 |
| 1285904359 | Barbara R Silverman | Speech-Language Pathologist | 475 Round Hll Rd, Roslyn Heights, NY 11577 | 2012-01-06 |
| 1316217581 | Roslyn Public Schools | Local Education Agency (LEA) | 375 Locust Lane, Roslyn Heights, NY 11577 | 2012-01-05 |
| Find all providers in zip 11577 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386122109 | Phoebe Ke | Physician Assistant | 155 Westwood Cir, Roslyn Heights, NY 11577-1844 | 2018-08-02 |
| 1881069920 | Pegah Moosazadeh | Physician Assistant | 26 Coolidge Ave, Roslyn Heights, NY 11577-2028 | 2015-12-01 |
| 1710598925 | Karen Sanchez | Physician Assistant | 125 Mineola Ave Ste 200, Roslyn Heights, NY 11577-2042 | 2020-08-11 |
| 1679057715 | Emily L Rogan | Physician Assistant | 125 Mineola Ave, Roslyn Heights, NY 11577-2023 | 2018-09-24 |
| 1124565858 | Pamela Cornacchia | Physician Assistant | 2 Locust Ln, Roslyn Heights, NY 11577-2625 | 2017-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821026 | Victoria Yunaev | Physician Assistant | 7203 166th St, Fresh Meadows, NY 11365-3237 | 2020-11-05 |
| 1811598857 | Brittany Christine Androsko | Physician Assistant | 1769 Union St Fl 2, Niskayuna, NY 12309-6311 | 2020-11-05 |
| 1164023172 | Betina Charlotte Apostol Nuguid | Physician Assistant | 1730 Central Park Ave Ste 3p, Yonkers, NY 10710-4905 | 2020-11-05 |
| 1023619129 | Anna Leigh Vonck | Physician Assistant | 2 Executive Park Dr Ste 2, Albany, NY 12203-3700 | 2020-11-04 |
| 1952902256 | Billy Phuoctan Truong | Physician Assistant | 8832 18th Ave, Brooklyn, NY 11214-6002 | 2020-11-03 |
| 1205437621 | Jason Patrick Feak | Physician Assistant | 6338 Falls Blvd, Chittenango, NY 13037-8799 | 2020-11-03 |
| 1437750742 | Drew James Mitchell | Physician Assistant | 58 Old Bedford Rd, Goldens Bridge, NY 10526-1000 | 2020-11-03 |
| 1306446125 | Julie Mcphillips | Physician Assistant | 961 W Kaisertown Rd, Montgomery, NY 12549-2317 | 2020-10-30 |
| 1487254330 | Thomas J Nagel | Physician Assistant | 57 Montgomery Road, Fort Montgomery, NY 10922 | 2020-10-29 |
| 1700486560 | Jayanti Rao | Physician Assistant | 1059 Union St Apt 3g, Brooklyn, NY 11225-1268 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
| City | ROSLYN HEIGHTS |
| Zip Code | 11577 |
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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.