CAROLINE CATHERINE FIORDALISI AGNP - C
NPI 1063395861
Nurse Practitioner - Adult Health in Port Jefferson Station, NY

Q: What is Caroline Fiordalisi's NPI number?

The NPI number for Caroline Fiordalisi is 1063395861. It was assigned to this individual provider in the NPPES registry on July 29, 2025.

Q: What is Caroline Fiordalisi's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Active since July 29, 2025

5225-15 NESCONSET HWY, BUILDING 2, PORT JEFFERSON STATION, NY 11776(631) 509-3516 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Caroline Catherine Fiordalisi Agnp - C NPPES

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

CAROLINE CATHERINE FIORDALISI AGNP - C (NPI 1063395861) is an individual adult health provider in Port Jefferson Station, New York, licensed in New York (F312318-01) and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1063395861

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameCAROLINE CATHERINE FIORDALISICredential: AGNP - C

Location Address5225-15 NESCONSET HWY, BUILDING 2Port Jefferson Station, NY 11776

Mailing Address11 Laura CtMount Sinai, NY 11766-2361 · (631) 834-5416

Phone(631) 509-3516

Sole ProprietorNo

Enumeration DateJuly 29, 2025

NPPES CertifiedJuly 21, 2025

✔ NPI 1063395861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NY · F312318-01

5225-15 NESCONSET HWY, Port Jefferson Station, NY 11776

Open in Google Maps ↗

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 Caroline Fiordalisi's NPI number?

The NPI number for Caroline Fiordalisi is 1063395861. It was assigned to this individual provider in the NPPES registry on July 29, 2025.

Where is Caroline Fiordalisi located?

Caroline Fiordalisi practices at 5225-15 Nesconset Hwy Building 2, Port Jefferson Station, NY 11776. The listed phone number is (631) 509-3516.

What is Caroline Fiordalisi's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Caroline Fiordalisi was last updated on July 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.