JESSICA PICCOLI


Address: 48 Route 25a, Medical Office Building, Suite 305, Smithtown, NY 11787-1431
Phone: 6318623171

JESSICA PICCOLI (NPI# 1669748943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669748943
Entity Type Individual
Full Name JESSICA PICCOLI
Practice Address 48 Route 25a
Medical Office Building, Suite 305
Smithtown
NY 11787-1431
Practice Telephone 6318623171
Practice Fax Number 6318623180
Enumeration Date 2012-03-30
Last Update Date 2012-03-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
015282 NY Physician Assistants & Advanced Practice Nursing Providers

Other Providers JESSICA PICCOLI

NPI Name Taxonomy Address Enumeration
1285121533 Jessica L Piccoli Physical Therapist 227 Highland Ave, Johnston, RI 02919 2018-04-21

Office Location

Street Address 48 ROUTE 25A
MEDICAL OFFICE BUILDING, SUITE 305
City SMITHTOWN
State NY
Zip Code 11787-1431

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568460343 Rakesh B Patel Specialist 48 Route 25a, Suite 103, Smithtown, NY 11787-1431 2005-07-14
1114345055 Rakesh B. Patel Physician PC Specialist 48 Route 25a, Suite 103, Smithtown, NY 11787-1431 2014-03-28
1730428467 Southwest Suffolk, P.c Family Medicine 48 Route 25a, Suite 210, Smithtown, NY 11787-1431 2013-01-31
1245586528 North Shore Medical Group of The Mount Sinai School of Medicine Internal Medicine 48 Route 25a, Suite 303, Smithtown, NY 11787-1431 2012-07-24
1083986418 Joseph R Vitolo Md PC Surgery 48 Route 25a, Suite 308, Smithtown, NY 11787 2012-02-01
1205168739 Nick H Gabriel Do PC Surgery 48 Route 25a, Suite 104, Smithtown, NY 11787-1431 2010-02-09
1851533699 Richard Charles Feldstein Internal Medicine 48 Route 25a, Suite 107, Smithtown, NY 11787-1431 2009-03-25
1326206079 Valentina Emilia Radianu Anesthesiology 48 Route 25a, Smithtown, NY 11787-1431 2008-05-29
1295992535 Michael Raymond Weber Internal Medicine 48 Route 25a, Suite 103, Smithtown, NY 11787-1431 2008-05-22
1104096049 Southwest Suffolk Medical, P.C. Surgery 48 Route 25a, Smithtown, NY 11787-1431 2008-03-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558962779 Gwendolyn Burris Counselor 20 Gilbert Avenue, Suite 107-a, Smithtown, NY 11787 2020-11-04
1467051193 Karin M Caro Adult Companion 9 Three Pond Road, Smithtown, NY 11787 2020-10-23
1639706641 Nimit Khara Student in an Organized Health Care Education/Training Program 240 Middle Country Rd A, Smithtown, NY 11787 2020-03-27
1003469032 Maria Teresa Gardella Nurse Practitioner St. Catherine of Siena Medical Center, 50 Ny-25a, Smithtown, NY 11787 2019-07-18
1558922070 Pamella Ann Grillo Physician Assistant 373 Ny-111 #5, Smithtown, NY 11787 2019-06-25
1306308127 Sherry Hansen Social Worker 285 Middle Country Rd, Suite Ll5, Smithtown, NY 11787 2019-04-01
1932663747 Kayla Roundsman Counselor 11 Route 11, Smithtown, NY 11787 2019-01-25
1568959856 Moreen Johnson Registered Nurse Christian Nursing Registry, 17 Bank Ave, Smith Town, NY 11787 2018-04-23
1992217871 Erica Zeller Licensed Clinical Social Work Pllc Social Worker 15 Bellemeade Ave Ste 3, Smithtown, NY 11787 2017-10-31
1881117802 Oisin Vincent Keenan Case Manager/Care Coordinator 11 Ny-111, Smithtown, NY 11787 2017-07-21
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629293154 Robert Donald Branch Jr. Physician Assistant 290 E Main St Ste 700, Smithtown, NY 11787-2916 2007-04-17
1609232883 Patrick Fritz Greger Physician Assistant 50 Route 25a, Surgical Pa Services, Smithtown, NY 11787-1348 2016-01-04
1346298197 Robin J. Conversano Physician Assistant 290 E Main St, Suite 700, Smithtown, NY 11787-2916 2006-05-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1205434727 Julia Loren Bartsch Physician Assistant 11791 Genesee St, Alden, NY 14004-9713 2020-10-16
1295347078 Alana Janine Miller Physician Assistant 1060 5th Ave # 1b, New York, NY 10128-0104 2020-08-21
1336768647 Abul Sarker Physician Assistant 2 Sagamore Ave, Suffern, NY 10901-7412 2020-04-16
1689200412 Margaret Ann Sullivan Physician Assistant 7011 108th St Apt 4l, Forest Hills, NY 11375-4407 2020-03-12
1376177527 Anabell Marina Lopez Plaza Physician Assistant 12 Berrywood Ct, Bay Shore, NY 11706-2058 2020-02-26
1154969053 Joshua Reyes Physician Assistant 8839 Saint James Ave, Elmhurst, NY 11373 2019-12-11
1831736602 Ll Physician Assistant PC Physician Assistant 2279 Coney Island Ave Fl 2, Brooklyn, NY 11223-3337 2019-11-29
1992348775 Nafiur Rahman Chowdhury Physician Assistant 8268 164th St Rm A3-65, Jamaica, NY 11432-1121 2019-10-23
1376194720 Sarah Van Eenenaam Physician Assistant Adult Cardiac Surgery, 750 East Adams St, Syracuse, NY 13210 2019-09-26
1578114377 Matthew Newmark Eisenstein Physician Assistant 3260 43rd St Apt 2r, Astoria, NY 11103-2745 2019-09-23
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Competitor

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City SMITHTOWN
Zip Code 11787

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Dataset Information

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.

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