KATHRYN CICCOLINI AGACNP-BC
NPI 1053829408
Nurse Practitioner - Acute Care in New York, NY

Active since January 19, 2018
10 E 102ND ST, NEW YORK, NY 10029(212) 241-6756 Get Directions Write a Review

NPPES record last updated: October 22, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 22, 2018, Jan 19, 2018 (2 updates tracked since 2018).

About Kathryn Ciccolini Agacnp-bc NPPES

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

KATHRYN CICCOLINI AGACNP-BC (NPI 1053829408) is an individual acute care provider in New York, New York, licensed in New York (F431160-1) and active in the NPI registry since January 2018. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1053829408
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameKATHRYN CICCOLINICredential: AGACNP-BC
Location Address10 E 102ND STNew York, NY 10029-6030
Mailing Address150 E 42nd St Fl 10New York, NY 10017-5626
Sole ProprietorYes
Enumeration DateJanuary 19, 2018
Last NPPES UpdateOctober 22, 20182 updates tracked since enumeration
NPI 1053829408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in NY · F431160-1
10 E 102ND ST, New York, NY 10029

Secondary Practice Locations 2

Location 11468 Madison AveNew York, NY 10029-6508 · Phone (212) 241-6500
Location 21 Gustave L Levy PlNew York, NY 10029-6504 · Phone (212) 241-6756

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Adult Health)
10 E 102ND ST
NEW YORK, NY 10029
Nurse Practitioner (Family)
10 E 102ND ST
NEW YORK, NY 10029
Pediatrics (Pediatric Hematology-Oncology)
10 E 102ND ST
NEW YORK, NY 10029
Internal Medicine (Pulmonary Disease)
10 E 102ND ST
NEW YORK, NY 10029
Internal Medicine (Pulmonary Disease)
10 E 102ND ST
NEW YORK, NY 10029
Internal Medicine (Pulmonary Disease)
10 E 102ND ST
NEW YORK, NY 10029
Internal Medicine (Medical Oncology)
10 E 102ND ST
NEW YORK, NY 10029
Internal Medicine (Pulmonary Disease)
10 E 102ND ST
NEW YORK, NY 10029

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 Kathryn Ciccolini's NPI number?

The NPI number for Kathryn Ciccolini is 1053829408. It was assigned to this individual provider in the NPPES registry on January 19, 2018.

Where is Kathryn Ciccolini located?

Kathryn Ciccolini practices at 10 E 102nd St, New York, NY 10029. The listed phone number is (212) 241-6756.

What is Kathryn Ciccolini's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

When was this NPI record last updated?

The NPPES record for Kathryn Ciccolini was last updated on October 22, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.