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JAKE COSTANTINO
NPI 1104772755
Student in an Organized Health Care Education/Training Program in Oakdale, PA

Active since March 06, 2026
117 SADDLE RIDGE DR, OAKDALE, PA 15071(724) 825-0719 Get Directions Write a Review

NPPES record last updated: March 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jake Costantino NPPES

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

JAKE COSTANTINO (NPI 1104772755) is an individual student in an organized health care education/training program in Oakdale, Pennsylvania and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1104772755
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJAKE COSTANTINO
Location Address117 SADDLE RIDGE DROakdale, PA 15071-3727
Mailing Address117 Saddle Ridge DrOakdale, PA 15071-3727
Phone(724) 825-0719
Sole ProprietorYes
Enumeration DateMarch 6, 2026
NPPES CertifiedMarch 6, 2026
✔ NPI 1104772755 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 SADDLE RIDGE DR, Oakdale, PA 15071
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Costantino's NPI number?

The NPI number for Jake Costantino is 1104772755. It was assigned to this individual provider in the NPPES registry on March 6, 2026.

Where is Jake Costantino located?

Jake Costantino practices at 117 Saddle Ridge Dr, Oakdale, PA 15071. The listed phone number is (724) 825-0719.

What is Jake Costantino'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 Costantino was last updated on March 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.