JACK A CIPOLLA
NPI 1104621549
Student in an Organized Health Care Education/Training Program in Miami, FL

Q: What is Jack Cipolla's NPI number?

The NPI number for Jack Cipolla is 1104621549. It was assigned to this individual provider in the NPPES registry on February 18, 2025.

Q: What is Jack Cipolla's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jack Cipolla was last updated on February 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since February 18, 2025PECOS Enrolled

117 SW 10TH ST APT 1701, MIAMI, FL 33130(760) 525-2916 Get Directions Write a Review

NPPES record last updated: February 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jack A Cipolla NPPES

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

JACK A CIPOLLA (NPI 1104621549) is an individual student in an organized health care education/training program in Miami, Florida and active in the NPI registry since February 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104621549

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJACK A CIPOLLA

Location Address117 SW 10TH ST APT 1701Miami, FL 33130-3687

Mailing Address117 Sw 10th St Apt 1701Miami, FL 33130-3687 · (760) 525-2916

Phone(760) 525-2916

Sole ProprietorNo

Enumeration DateFebruary 18, 2025

NPPES CertifiedFebruary 18, 2025

✔ NPI 1104621549 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.

117 SW 10TH ST APT 1701, Miami, FL 33130

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jack A Cipolla is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Jack Cipolla's NPI number?

The NPI number for Jack Cipolla is 1104621549. It was assigned to this individual provider in the NPPES registry on February 18, 2025.

Where is Jack Cipolla located?

Jack Cipolla practices at 117 SW 10th St Apt 1701, Miami, FL 33130. The listed phone number is (760) 525-2916.

What is Jack Cipolla's specialty?

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

Is Jack Cipolla enrolled in Medicare?

Yes. Jack Cipolla is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jack Cipolla was last updated on February 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.