JAKE LAZZARO GIGLIOTTI MD
NPI 1093518912
Student in an Organized Health Care Education/Training Program in Stony Brook, NY

Active since March 27, 2025
101 NICOLLS RD FL HSC11, STONY BROOK, NY 11794(631) 216-8902(631) 444-2894 Get Directions Write a Review

NPPES record last updated: March 27, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jake Lazzaro Gigliotti Md NPPES

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

JAKE LAZZARO GIGLIOTTI MD (NPI 1093518912) is an individual student in an organized health care education/training program in Stony Brook, New York and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1093518912
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJAKE LAZZARO GIGLIOTTICredential: MD
Location Address101 NICOLLS RD FL HSC11Stony Brook, NY 11794-8111
Mailing Address101 Nicolls Rd Fl Hsc11Stony Brook, NY 11794-8111 · (631) 216-8902 · Fax (631) 444-2894
Fax(631) 444-2894
Sole ProprietorNo
Enumeration DateMarch 27, 2025
NPPES CertifiedMarch 27, 2025
NPI 1093518912 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.

101 NICOLLS RD FL HSC11, Stony Brook, NY 11794

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Pediatrics)
101 NICOLLS RD FL HSC11
STONY BROOK, NY 11794
Pediatrics (Pediatric Cardiology)
101 NICOLLS RD FL HSC11
STONY BROOK, NY 11794
Pediatrics
101 NICOLLS RD FL HSC11
STONY BROOK, NY 11794
Pediatrics
101 NICOLLS RD FL HSC11
STONY BROOK, NY 11794

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 Jake Gigliotti's NPI number?

The NPI number for Jake Gigliotti is 1093518912. It was assigned to this individual provider in the NPPES registry on March 27, 2025.

Where is Jake Gigliotti located?

Jake Gigliotti practices at 101 Nicolls Rd Fl Hsc11, Stony Brook, NY 11794. The listed phone number is (631) 216-8902.

What is Jake Gigliotti'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 Jake Gigliotti was last updated on March 27, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.