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GRACE M PUCCIARELLI
NPI 1689416224
Speech-Language Pathologist in Jamestown, NY

Active since June 12, 2024
774 FAIRMOUNT AVE, JAMESTOWN, NY 14701(716) 338-0668 Get Directions Write a Review

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

Record update history: Apr 16, 2026, Jun 12, 2024 (2 updates tracked since 2024).

About Grace M Pucciarelli NPPES

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

GRACE M PUCCIARELLI (NPI 1689416224) is an individual speech-language pathologist provider in Jamestown, New York, licensed in New York (035605) and active in the NPI registry since June 2024. She is a graduate of Other (2024).

NPPES Registry Identity

NPI1689416224
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameGRACE M PUCCIARELLI
Location Address774 FAIRMOUNT AVEJamestown, NY 14701-2609
Mailing Address774 Fairmount AveJamestown, NY 14701-2609 · (716) 665-1166 · Fax (866) 902-1160
Phone(716) 338-0668
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJune 12, 2024
Last NPPES UpdateApril 16, 20262 updates tracked since enumeration
NPPES CertifiedApril 16, 2026
✔ NPI 1689416224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in NY · 035605
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
774 FAIRMOUNT AVE, Jamestown, NY 14701
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grace M Pucciarelli is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9830667963
PECOS Enrollment IDI20260507001146

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.

AKASHDEEP KAUR-BRAR
Physical Therapist
774 FAIRMOUNT AVE
JAMESTOWN, NY 14701
Chautauqua County (716) 665-1166
MR. ANTHONY L WARD DPT
Specialist
774 FAIRMOUNT AVE
JAMESTOWN, NY 14701
Chautauqua County (716) 665-1166
MRS. KRISTINA EVERLY JOHNSON MS CCC-SLP
Speech-Language Pathologist
774 FAIRMOUNT AVE
JAMESTOWN, NY 14701
Chautauqua County (716) 338-0668
STEFANIE BRIGGS
Physical Therapist
774 FAIRMOUNT AVE
JAMESTOWN, NY 14701
Chautauqua County (716) 665-1166
LOGAN D'ANGELO PA-C
Physician Assistant
774 FAIRMOUNT AVE
JAMESTOWN, NY 14701
Chautauqua County (716) 708-6578
DEBRA B DANIELS NP
Nurse Practitioner (Family)
774 FAIRMOUNT AVE
JAMESTOWN, NY 14701
Chautauqua County (716) 708-6578
LORI S MELQUIST
Physical Therapy Assistant
774 FAIRMOUNT AVE
JAMESTOWN, NY 14701
Chautauqua County (716) 665-1166
KARI ALANA MORALES ATC
Specialist/Technologist (Athletic Trainer)
774 FAIRMOUNT AVE
JAMESTOWN, NY 14701
Chautauqua County (716) 665-1166

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 Grace Pucciarelli's NPI number?

The NPI number for Grace Pucciarelli is 1689416224. It was assigned to this individual provider in the NPPES registry on June 12, 2024.

Where is Grace Pucciarelli located?

Grace Pucciarelli practices at 774 Fairmount Ave, Jamestown, NY 14701. The listed phone number is (716) 338-0668.

What is Grace Pucciarelli's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Grace Pucciarelli enrolled in Medicare?

Yes. Grace Pucciarelli is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Grace Pucciarelli was last updated on April 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.