JESSICA CIARDULLO
NPI 1083191308
Student in an Organized Health Care Education/Training Program in Coram, NY

Active since July 20, 2018

NPPES record last updated: July 20, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jessica Ciardullo NPPES

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

JESSICA CIARDULLO (NPI 1083191308) is an individual student in an organized health care education/training program in Coram, New York and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1083191308
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJESSICA CIARDULLO
Location Address3600 NY-112Coram, NY 11727
Mailing Address14202 20th AveFlushing, NY 11351-3000
Sole ProprietorYes
Enumeration DateJuly 20, 2018
NPI 1083191308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
3600 NY-112, Coram, NY 11727

Other Providers at the Same Location NPPES 3

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

Social Worker
3600 NY-112
CORAM, NY 11727
Social Worker
3600 NY-112
CORAM, NY 11727
Student in an Organized Health Care Education/Training Program
3600 NY-112
CORAM, NY 11727

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 Jessica Ciardullo's NPI number?

The NPI number for Jessica Ciardullo is 1083191308. It was assigned to this individual provider in the NPPES registry on July 20, 2018.

Where is Jessica Ciardullo located?

Jessica Ciardullo practices at 3600 Ny-112, Coram, NY 11727. The listed phone number is (631) 920-8500.

What is Jessica Ciardullo'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 Jessica Ciardullo was last updated on July 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.