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JACLYN ROSEANN CUCCINELLO NP
NPI 1043476237
Nurse Practitioner - Women's Health in Port Jefferson Station, NY

Active since August 06, 2008
98.52/100
CMS Quality Rating
5225 RTE 347 STE 70, PORT JEFFERSON STATION, NY 11776(631) 331-8777(631) 474-9169 Get Directions Write a Review

NPPES record last updated: July 11, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 11, 2019, Feb 6, 2017 (2 updates tracked since 2017).

About Jaclyn Roseann Cuccinello Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACLYN ROSEANN CUCCINELLO NP (NPI 1043476237) is an individual women's health provider in Port Jefferson Station, New York, licensed in New York (F421258-1) and active in the NPI registry since August 2008.

NPPES Registry Identity

NPI1043476237
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameJACLYN ROSEANN CUCCINELLOCredential: NP
Location Address5225 RTE 347 STE 70Port Jefferson Station, NY 11776-2061
Mailing Address5225 Rte 347 Ste 70Port Jefferson Station, NY 11776-2061 · (631) 331-8777 · Fax (631) 474-9169
Phone(631) 331-8777
Fax(631) 474-9169
Sole ProprietorNo
Enumeration DateAugust 6, 2008
Last NPPES UpdateJuly 11, 20192 updates tracked since enumeration
✔ NPI 1043476237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in NY · F421258-1
Also ListedRegistered NurseTaxonomy 163W00000X · License 565107 (NY)
5225 RTE 347 STE 70, Port Jefferson Station, NY 11776
Open in Google Maps ↗

Other Identifiers 1

Medicaid565107NY

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.85
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LINDA LOUISE SPENCE NP
Nurse Practitioner (Obstetrics & Gynecology)
5225 RTE 347 STE 70
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 331-8777
DR. DANA L BRENNER MD
Obstetrics & Gynecology
5225 RTE 347 STE 70
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 331-8777

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jaclyn Cuccinello's NPI number?

The NPI number for Jaclyn Cuccinello is 1043476237. It was assigned to this individual provider in the NPPES registry on August 6, 2008.

Where is Jaclyn Cuccinello located?

Jaclyn Cuccinello practices at 5225 Rte 347 Ste 70, Port Jefferson Station, NY 11776. The listed phone number is (631) 331-8777.

What is Jaclyn Cuccinello's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

When was this NPI record last updated?

The NPPES record for Jaclyn Cuccinello was last updated on July 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.