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MRS. JESSICA DEFEO
NPI 1366164428
Specialist in Staten Island, NY

Active since September 15, 2022
110 FORRESTAL AVE, STATEN ISLAND, NY 10312(917) 745-7275 Get Directions Write a Review

NPPES record last updated: September 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Jessica Defeo NPPES

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

MRS. JESSICA DEFEO (NPI 1366164428) is an individual specialist in Staten Island, New York and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1366164428
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameMRS. JESSICA DEFEO
Location Address110 FORRESTAL AVEStaten Island, NY 10312-1957
Mailing Address110 Forrestal AveStaten Island, NY 10312-1957 · (917) 745-7275
Phone(917) 745-7275
Sole ProprietorNo
Enumeration DateSeptember 15, 2022
NPPES CertifiedSeptember 15, 2022
✔ NPI 1366164428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
110 FORRESTAL AVE, Staten Island, NY 10312
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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 Jessica Defeo's NPI number?

The NPI number for Jessica Defeo is 1366164428. It was assigned to this individual provider in the NPPES registry on September 15, 2022.

Where is Jessica Defeo located?

Jessica Defeo practices at 110 Forrestal Ave, Staten Island, NY 10312. The listed phone number is (917) 745-7275.

What is Jessica Defeo's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jessica Defeo was last updated on September 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.