JACQUELINE CLARIZIO
NPI 1174166722
Physician Assistant - Surgical in Trumbull, CT

Q: What is Jacqueline Clarizio's NPI number?

The NPI number for Jacqueline Clarizio is 1174166722. It was assigned to this individual provider in the NPPES registry on October 25, 2019.

Q: What is Jacqueline Clarizio's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Active since October 25, 2019PECOS Enrolled

5520 PARK AVE STE 300, TRUMBULL, CT 06611(203) 374-0310 Get Directions Write a Review

NPPES record last updated: July 27, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 27, 2020, Jun 23, 2020, Jun 7, 2020 and 1 more (4 updates tracked since 2019).

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About Jacqueline Clarizio NPPES

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

JACQUELINE CLARIZIO (NPI 1174166722) is an individual surgical provider in Trumbull, Connecticut, licensed in Connecticut (4820) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1174166722

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameJACQUELINE CLARIZIO

Location Address5520 PARK AVE STE 300Trumbull, CT 06611-3465

Mailing Address5520 Park Ave Ste 300, West PavilionTrumbull, CT 06611-3463

Phone(203) 374-0310

Sole ProprietorNo

Enumeration DateOctober 25, 2019

Last NPPES UpdateJuly 27, 20204 updates tracked since enumeration

NPPES CertifiedJuly 27, 2020

✔ NPI 1174166722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

Licenses✔ Licensed in CT · 4820✔ Licensed in NY · 024317

5520 PARK AVE STE 300, Trumbull, CT 06611

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Secondary Practice Locations 2

Location 1646 Park AveNew York, NY 10065-6105 · Phone (800) 633-8446

Location 2125 Mineola Ave Ste 200Roslyn Heights, NY 11577-2042 · Phone (800) 633-8446

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline Clarizio 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 Jacqueline Clarizio's NPI number?

The NPI number for Jacqueline Clarizio is 1174166722. It was assigned to this individual provider in the NPPES registry on October 25, 2019.

Where is Jacqueline Clarizio located?

Jacqueline Clarizio practices at 5520 Park Ave Ste 300, Trumbull, CT 06611. The listed phone number is (203) 374-0310.

What is Jacqueline Clarizio's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Jacqueline Clarizio enrolled in Medicare?

Yes. Jacqueline Clarizio is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacqueline Clarizio was last updated on July 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.