Jillian D'Amico
Physician Assistant, Surgical in Staten Island, New York
1477974384- Practice location
- 3333 Hylan Blvd, Staten Island, NY 10306-3608
- Phone
- 718-448-3210
- Fax
- —
- Last updated
- March 6, 2020
Jillian D'Amico is a Physician Assistant, Surgical based in Staten Island, NY. Jillian D'Amico practices in Staten Island, NY. The NPI Number for Jillian D'Amico is 1477974384 and holds a License No. 25mp00318500 (NJ). The current practice location address for Jillian D'Amico is 3333 Hylan Blvd, Staten Island, NY 10306-3608 and can be reached out via phone at 718-448-3210.
Provider Profile Details
- NPI Number
- 1477974384
- Provider Name
- Jillian D'Amico
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 3333 Hylan Blvd, Staten Island, NY 10306-3608
- Phone Number
- 718-448-3210
- Primary Taxonomy
- Physician Assistant, Surgical · 363AS0400X
- Sole Proprietor
- No
- Other Names
- Jillian Sarnelli (Former Name)
- Provider Enumeration Date
- December 18, 2013
- Last Update Date
- March 6, 2020
- Certification Date
- March 6, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3333 Hylan Blvd
Staten Island, NY 10306-3608 - City
- Staten Island
- State
- New York
- Zip
- 10306-3608
- Phone Number
- 718-448-3210
Provider Business Mailing Address Details
- Address
- 111 Galway Pl
Teaneck, NJ 07666-3640 - City
- Teaneck
- State
- NJ
- Zip
- 07666-3640
- Phone Number
- 201-833-9500
- Fax Number
- 201-862-0095
License Information
- License Number (1)
- 25mp00318500
- License State (1)
- NJ
- Taxonomy (1)
- Physician Assistant, Surgical · 363AS0400X
- License Number (2)
- 017455
- License State (2)
- NY
- Taxonomy (2)
- Physician Assistant, Surgical · 363AS0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Jillian D'Amico?
The NPI number of Jillian D'Amico is 1477974384. It was assigned on December 18, 2013 and is currently active in the NPPES registry.
What is the specialty of Jillian D'Amico?
Jillian D'Amico is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in NJ under license number 25mp00318500.
Where does Jillian D'Amico practice?
The practice location is 3333 Hylan Blvd, Staten Island, NY 10306-3608. The office can be reached at 718-448-3210 (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 1477974384 directly on the NPPES registry website.