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AMANDA JESSICA CANDILORO LPN
NPI 1790200244
Licensed Practical Nurse in Medford, NY

Active since August 06, 2017

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Jun 16, 2018, Aug 6, 2017 (3 updates tracked since 2017).

About Amanda Jessica Candiloro Lpn NPPES

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

AMANDA JESSICA CANDILORO LPN (NPI 1790200244) is an individual licensed practical nurse in Medford, New York, licensed in New York (320196) and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1790200244
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameAMANDA JESSICA CANDILOROCredential: LPN
Location Address121 OAK STMedford, NY 11763-4093
Mailing Address121 Oak StMedford, NY 11763-4093 · (631) 504-2173
Phone(631) 504-2173
Sole ProprietorYes
Enumeration DateAugust 6, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1790200244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 320196
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
121 OAK ST, Medford, NY 11763
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Other Identifiers 1

Other320196NY · The State Education Department

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 Amanda Candiloro's NPI number?

The NPI number for Amanda Candiloro is 1790200244. It was assigned to this individual provider in the NPPES registry on August 6, 2017.

Where is Amanda Candiloro located?

Amanda Candiloro practices at 121 Oak St, Medford, NY 11763. The listed phone number is (631) 504-2173.

What is Amanda Candiloro's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Amanda Candiloro was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.