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JACKIE JANET KOSTENKO DDS
NPI 1063306348
Student in an Organized Health Care Education/Training Program in Miami, FL

Active since June 03, 2025
1201 NW 16TH ST, MIAMI, FL 33125(305) 575-7000 Get Directions Write a Review

NPPES record last updated: June 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jackie Janet Kostenko Dds NPPES

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

JACKIE JANET KOSTENKO DDS (NPI 1063306348) is an individual student in an organized health care education/training program in Miami, Florida and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1063306348
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJACKIE JANET KOSTENKOCredential: DDS
Location Address1201 NW 16TH STMiami, FL 33125-1624
Mailing Address3645 Nw 36th StMiami, FL 33142-4953 · (617) 257-5669
Phone(305) 575-7000
Sole ProprietorYes
Enumeration DateJune 3, 2025
NPPES CertifiedMay 26, 2025
✔ NPI 1063306348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1201 NW 16TH ST, Miami, FL 33125
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

IRWIN SINGER M.D.
Internal Medicine (Nephrology)
1201 NW 16TH ST
MIAMI, FL 33125
Miami-Dade County (305) 575-3160
MARIE M FRANCOIS RN
Registered Nurse
1201 NW 16TH ST
MIAMI, FL 33125
Miami-Dade County (305) 575-7000
MARIA ADELAIDA ISAZA LCSW
Social Worker (Clinical)
1201 NW 16TH ST
MIAMI, FL 33125
Miami-Dade County (305) 927-0430
PAUL JAMIE DINOV RDN
Dietitian, Registered
1201 NW 16TH ST
MIAMI, FL 33125
Miami-Dade County (305) 325-3325
MR. WAYNE KADIS MSW
Social Worker (Clinical)
1201 NW 16TH ST, SOCIAL WORK SERVICE (122)
MIAMI, FL 33125
Miami-Dade County (305) 324-4455
DR. MAYRA GISELLE TORRES DMD
Dentist (General Practice)
1201 NW 16TH ST
MIAMI, FL 33125
Miami-Dade County (305) 575-3146
MR. RAFAL ROBERT WOJCIK LCSW
Social Worker (Clinical)
1201 NW 16TH ST
MIAMI, FL 33125
Miami-Dade County (786) 295-5626
CHRISTOPHER RUSS CHA PHARM.D.
Pharmacist
1201 NW 16TH ST
MIAMI, FL 33125
Miami-Dade County (305) 575-7000

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 Jackie Kostenko's NPI number?

The NPI number for Jackie Kostenko is 1063306348. It was assigned to this individual provider in the NPPES registry on June 3, 2025.

Where is Jackie Kostenko located?

Jackie Kostenko practices at 1201 NW 16th St, Miami, FL 33125. The listed phone number is (305) 575-7000.

What is Jackie Kostenko's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jackie Kostenko was last updated on June 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.