JESSICA PICCOLI (NPI# 1669748943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285121533 | Jessica L Piccoli | Physical Therapist | 227 Highland Ave, Johnston, RI 02919 | 2018-04-21 |
Street Address |
48 ROUTE 25A MEDICAL OFFICE BUILDING, SUITE 305 |
City | SMITHTOWN |
State | NY |
Zip Code | 11787-1431 |
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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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 |
Find all providers in zip 11787 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
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 |
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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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.