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MRS. JESSIE IPPOLITO
NPI 1124475587
Licensed Practical Nurse in Bohemia, NY

Active since May 16, 2016
721 OCEAN AVE, BOHEMIA, NY 11716(516) 779-0049 Get Directions Write a Review

NPPES record last updated: January 16, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 16, 2018, May 16, 2016 (2 updates tracked since 2016).

About Mrs. Jessie Ippolito NPPES

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

MRS. JESSIE IPPOLITO (NPI 1124475587) is an individual licensed practical nurse in Bohemia, New York, licensed in New York (325292-1) and active in the NPI registry since May 2016.

NPPES Registry Identity

NPI1124475587
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMRS. JESSIE IPPOLITO
Location Address721 OCEAN AVEBohemia, NY 11716-3613
Mailing Address721 Ocean AveBohemia, NY 11716-3613 · (516) 779-0049 · Fax (631) 803-0341
Phone(516) 779-0049
Sole ProprietorNo
Enumeration DateMay 16, 2016
Last NPPES UpdateJanuary 16, 20182 updates tracked since enumeration
✔ NPI 1124475587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 325292-1
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
721 OCEAN AVE, Bohemia, NY 11716
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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 Jessie Ippolito's NPI number?

The NPI number for Jessie Ippolito is 1124475587. It was assigned to this individual provider in the NPPES registry on May 16, 2016.

Where is Jessie Ippolito located?

Jessie Ippolito practices at 721 Ocean Ave, Bohemia, NY 11716. The listed phone number is (516) 779-0049.

What is Jessie Ippolito's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Jessie Ippolito was last updated on January 16, 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.