Active NPIIndividual providerSole proprietor

Jaclyn Polimeni

Specialist in Staten Island, New York

NPI Number1275429441
Practice location
1110 South Ave, Staten Island, NY 10314-3403
Fax
—
Last updated
June 16, 2025

Jaclyn Polimeni is a Specialist based in Staten Island, NY. Jaclyn Polimeni practices in Staten Island, NY. The NPI Number for Jaclyn Polimeni is 1275429441. The current practice location address for Jaclyn Polimeni is 1110 South Ave, Staten Island, NY 10314-3403 and can be reached out via phone at 866-707-8669.

Provider Profile Details

NPI Number
1275429441
Provider Name
Jaclyn Polimeni
Provider Entity Type
Individual
Gender
Female
Address
1110 South Ave, Staten Island, NY 10314-3403
Phone Number
866-707-8669
Primary Taxonomy
Specialist · 174400000X
Sole Proprietor
Yes
Provider Enumeration Date
June 16, 2025
Last Update Date
June 16, 2025
Certification Date
June 16, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
1110 South Ave
Staten Island, NY 10314-3403
Zip
10314-3403
Phone Number
866-707-8669
Staten Island, NY 10314Get directions →

Provider Business Mailing Address Details

Address
115 Wheeling Ave
Staten Island, NY 10309-3026
City
Staten Island
State
NY
Zip
10309-3026
Phone Number
347-962-8672

License Information

Taxonomy
Specialist · 174400000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jaclyn Polimeni?

The NPI number of Jaclyn Polimeni is 1275429441. It was assigned on June 16, 2025 and is currently active in the NPPES registry.

What is the specialty of Jaclyn Polimeni?

Jaclyn Polimeni is registered under the primary taxonomy Specialist (code 174400000X).

Where does Jaclyn Polimeni practice?

The practice location is 1110 South Ave, Staten Island, NY 10314-3403. The office can be reached at 866-707-8669 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1275429441 directly on the NPPES registry website.

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