Active NPIIndividual provider

Mrs. Jessica Defeo

Specialist in Staten Island, New York

NPI Number1366164428
Practice location
110 Forrestal Ave, Staten Island, NY 10312-1957
Fax
—
Last updated
September 15, 2022

Jessica Defeo is a Specialist based in Staten Island, NY. Jessica Defeo practices in Staten Island, NY. The NPI Number for Jessica Defeo is 1366164428. The current practice location address for Jessica Defeo is 110 Forrestal Ave, Staten Island, NY 10312-1957 and can be reached out via phone at 917-745-7275.

Provider Profile Details

NPI Number
1366164428
Provider Name
Jessica Defeo
Provider Entity Type
Individual
Gender
Female
Address
110 Forrestal Ave, Staten Island, NY 10312-1957
Phone Number
917-745-7275
Primary Taxonomy
Specialist · 174400000X
Sole Proprietor
No
Provider Enumeration Date
September 15, 2022
Last Update Date
September 15, 2022
Certification Date
September 15, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
110 Forrestal Ave
Staten Island, NY 10312-1957
Zip
10312-1957
Phone Number
917-745-7275
Staten Island, NY 10312Get directions →

Provider Business Mailing Address Details

Address
110 Forrestal Ave
Staten Island, NY 10312-1957
City
Staten Island
State
NY
Zip
10312-1957
Phone Number
917-745-7275

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 Mrs. Jessica Defeo?

The NPI number of Mrs. Jessica Defeo is 1366164428. It was assigned on September 15, 2022 and is currently active in the NPPES registry.

What is the specialty of Mrs. Jessica Defeo?

Mrs. Jessica Defeo is registered under the primary taxonomy Specialist (code 174400000X).

Where does Mrs. Jessica Defeo practice?

The practice location is 110 Forrestal Ave, Staten Island, NY 10312-1957. The office can be reached at 917-745-7275 (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 1366164428 directly on the NPPES registry website.

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