JACLYN MARTHA BUTTAFUOCO DO
NPI 1184563462
Student in an Organized Health Care Education/Training Program in Columbus, OH

Q: What is Jaclyn Buttafuoco's NPI number?

The NPI number for Jaclyn Buttafuoco is 1184563462. It was assigned to this individual provider in the NPPES registry on March 25, 2026. The provider is also known as Jackie Buttafuoco Do.

Q: What is Jaclyn Buttafuoco'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 Jaclyn Buttafuoco was last updated on March 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 March 25, 2026PECOS Enrolled

3595 OLENTANGY RIVER RD, COLUMBUS, OH 43214(614) 566-5456(614) 566-6902 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Jaclyn Martha Buttafuoco Do NPPES

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

JACLYN MARTHA BUTTAFUOCO DO (NPI 1184563462) is an individual student in an organized health care education/training program in Columbus, Ohio and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184563462

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameJACLYN MARTHA BUTTAFUOCOCredential: DO

Location Address3595 OLENTANGY RIVER RDColumbus, OH 43214-3440

Mailing Address3595 Olentangy River RdColumbus, OH 43214-3440 · (614) 566-5456 · Fax (614) 566-6902

Phone(614) 566-5456

Fax(614) 566-6902

Sole ProprietorNo

Enumeration DateMarch 25, 2026

NPPES CertifiedMarch 25, 2026

✔ NPI 1184563462 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.

3595 OLENTANGY RIVER RD, Columbus, OH 43214

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Other Names 1

Other Name (5)Jackie Buttafuoco Do

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jaclyn Martha Buttafuoco Do 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.

Other Providers at the Same Location NPPES 20

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

AUDREY LOUISE FREEDMAN DO

Student in an Organized Health Care Education/Training Program