JESSICA PICCOLI
NPI 1669748943
Physician Assistant - Surgical in Smithtown, NY

Active since March 30, 2012PECOS EnrolledAccepts Medicare Assignment
48 ROUTE 25A, MEDICAL OFFICE BUILDING, SUITE 305, SMITHTOWN, NY 11787(631) 862-3171(631) 862-3180 Get Directions Write a Review

NPPES record last updated: March 30, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jessica Piccoli NPPES

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

JESSICA PICCOLI (NPI 1669748943) is an individual surgical provider in Smithtown, New York, licensed in New York (015282) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS, is affiliated with St Catherine Of Siena Hospital Medical Center, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1669748943
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameJESSICA PICCOLI
Location Address48 ROUTE 25A, MEDICAL OFFICE BUILDING, SUITE 305Smithtown, NY 11787-1431
Mailing Address48 Route 25a, Medical Office Building, Suite 305Smithtown, NY 11787-1431
Fax(631) 862-3180
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMarch 30, 2012
NPI 1669748943 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
License Licensed in NY · 015282
48 ROUTE 25A, Smithtown, NY 11787

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jessica Piccoli is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335308931
PECOS Enrollment IDI20120316000179
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Catherine Of Siena Hospital Medical Center

Acute Care Hospitals · Smithtown, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330401
Location50 Route 25ASmithtown, NY 11787 · Suffolk County
Emergency services Birthing friendly

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.

Anesthesiology
48 ROUTE 25A, SUITE 101
SMITHTOWN, NY 11787
Anesthesiology
48 ROUTE 25A, SUITE 101
SMITHTOWN, NY 11787
Medical Genetics, Ph.D. Medical Genetics
48 ROUTE 25A, SUITE 205
SMITHTOWN, NY 11787
Internal Medicine (Gastroenterology)
48 ROUTE 25A, STE 307
SMITHTOWN, NY 11787
Surgery
48 ROUTE 25A, SUITE 308
SMITHTOWN, NY 11787
Anesthesiology
48 ROUTE 25A, SUITE 101
SMITHTOWN, NY 11787
Surgery (Surgical Oncology)
48 ROUTE 25A
SMITHTOWN, NY 11787
Specialist
48 ROUTE 25A, SUITE 103
SMITHTOWN, NY 11787

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 Piccoli's NPI number?

The NPI number for Jessica Piccoli is 1669748943. It was assigned to this individual provider in the NPPES registry on March 30, 2012.

Where is Jessica Piccoli located?

Jessica Piccoli practices at 48 Route 25A Medical Office Building, Suite 305, Smithtown, NY 11787. The listed phone number is (631) 862-3171.

What is Jessica Piccoli's specialty?

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

Is Jessica Piccoli enrolled in Medicare?

Yes. Jessica Piccoli is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Jessica Piccoli affiliated with any hospitals?

According to CMS data, Jessica Piccoli is affiliated with St Catherine Of Siena Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Jessica Piccoli was last updated on March 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.