Jaclyn Roseann Cuccinello
NP | Nurse Practitioner | 9+ years Exp
5225 Rte 347 Ste 70, Port Jefferson Station
New York, 11776-2061
631-331-8777
Jaclyn Roseann Cuccinello is a Port Jefferson Station, New York based nurse practitioner with 9 years of experience in Nurse Practitioner. She completed her graduation in 2016. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Jaclyn Roseann Cuccinello is F421258-1 for Women Health in New York. Her current practice location is 5225 Rte 347 Ste 70, Port Jefferson Station. Patients can reach her at 631-331-8777 or can fax her at 631-474-9169. Jaclyn Roseann Cuccinello is NP with specialization in Nurse Practitioner and her NPI number (Unique professional ID assigned by NPPES) is 1043476237.
Jaclyn Roseann Cuccinello has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Jaclyn Roseann Cuccinello speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Jaclyn Roseann Cuccinello |
| Specialization: | Nurse Practitioner Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | NP |
| Experience: | 9+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2016 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 5225 Rte 347 Ste 70, Port Jefferson Station,
New York, 11776-2061 |
| Phone: | 631-331-8777 |
| Fax: | 631-474-9169 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which 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).
NPI details are as mentioned below.
| PAC ID: | 6002158235 |
| Enrollment ID: | I20190508001589 |
| NPI Number: | 1043476237 |
| NPI Enumeration Date: | 06 Aug, 2008 |
| NPI Last Update On: | 11 Jul, 2019 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jaclyn Roseann Cuccinello are as mentioned below.
| License Number | Specialization | State | Status | |
| F421258-1 | Women Health | New York | Primary | |
| 565107 | Registered Nurse | New York | Secondary | |
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| (330185) | Port jefferson, NY | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Jaclyn Roseann Cuccinello is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| University Associates In Obstetrics And Gynecology, University Faculty (9032001045) | 100 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Jaclyn Roseann Cuccinello such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 565107 | Medicaid | New York | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Jaclyn Roseann Cuccinello
5225 Rte 347 Ste 70,
Port Jefferson Station, New York |
| Zip: | 11776-2061 |
| Phone Number: | 631-331-8777 |
| Fax Number: | 631-474-9169 |
Patients can reach Jaclyn Roseann Cuccinello at
5225 Rte 347 Ste 70, Port Jefferson Station, New York or can
call to book an appointment on 631-331-8777.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.