DR. JAMES CIANCARELLI (NPI# 1104279884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104279884 |
| Entity Type | Individual |
| Full Name | DR. JAMES CIANCARELLI |
| Credential | D.O. |
| Practice Address |
5 The Spout Smithtown NY 11787 |
| Mailing Address |
5 The Spout Smithtown NY 11787-1854 |
| Practice Telephone | 6318797744 |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2016-07-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518987197 | James David Ciancarelli | Dentist | 203 Rockaway Avenue, Valley Stream, New York, NY 11580 | 2006-07-19 |
| Street Address |
5 THE SPOUT |
| City | SMITHTOWN |
| State | NY |
| Zip Code | 11787 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962779 | Gwendolyn Burris | Counselor | 20 Gilbert Avenue, Suite 107-a, Smithtown, NY 11787 | 2020-11-04 |
| 1467051193 | Karin M Caro | Adult Companion | 9 Three Pond Road, Smithtown, NY 11787 | 2020-10-23 |
| 1639706641 | Nimit Khara | Student in an Organized Health Care Education/Training Program | 240 Middle Country Rd A, Smithtown, NY 11787 | 2020-03-27 |
| 1003469032 | Maria Teresa Gardella | Nurse Practitioner | St. Catherine of Siena Medical Center, 50 Ny-25a, Smithtown, NY 11787 | 2019-07-18 |
| 1558922070 | Pamella Ann Grillo | Physician Assistant | 373 Ny-111 #5, Smithtown, NY 11787 | 2019-06-25 |
| 1306308127 | Sherry Hansen | Social Worker | 285 Middle Country Rd, Suite Ll5, Smithtown, NY 11787 | 2019-04-01 |
| 1932663747 | Kayla Roundsman | Counselor | 11 Route 11, Smithtown, NY 11787 | 2019-01-25 |
| 1568959856 | Moreen Johnson | Registered Nurse | Christian Nursing Registry, 17 Bank Ave, Smith Town, NY 11787 | 2018-04-23 |
| 1992217871 | Erica Zeller Licensed Clinical Social Work Pllc | Social Worker | 15 Bellemeade Ave Ste 3, Smithtown, NY 11787 | 2017-10-31 |
| 1881117802 | Oisin Vincent Keenan | Case Manager/Care Coordinator | 11 Ny-111, Smithtown, NY 11787 | 2017-07-21 |
| Find all providers in zip 11787 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538782156 | Sindhu Gollapalli | Student in an Organized Health Care Education/Training Program | 58 Landing Meadow Rd, Smithtown, NY 11787-1158 | 2020-05-19 |
| 1639706641 | Nimit Khara | Student in an Organized Health Care Education/Training Program | 240 Middle Country Rd A, Smithtown, NY 11787 | 2020-03-27 |
| 1871140046 | Lora Danielle Ottaviano | Student in an Organized Health Care Education/Training Program | 72 Croft Ln, Smithtown, NY 11787-4112 | 2019-08-22 |
| 1417457763 | Krystyna Swiecicki | Student in an Organized Health Care Education/Training Program | 11 Route 111 Ste 1, Smithtown, NY 11787-3754 | 2018-02-13 |
| 1477075349 | Michelle Solomos | Student in an Organized Health Care Education/Training Program | 24 Cambridge Dr, Smithtown, NY 11787-4833 | 2017-07-12 |
| 1346795028 | Sally Kim Houghton | Student in an Organized Health Care Education/Training Program | 9 West Ave, Smithtown, NY 11787-3825 | 2016-08-23 |
| 1679026025 | Amanda Dawn Albanese | Student in an Organized Health Care Education/Training Program | 9 Thrush Dr, Smithtown, NY 11787-3320 | 2016-08-02 |
| 1538553979 | Christopher Chandler | Student in an Organized Health Care Education/Training Program | 27 Asbury Dr, Smithtown, NY 11787-3126 | 2015-03-24 |
| 1093116436 | Mariama Toffa | Student in an Organized Health Care Education/Training Program | 11 Route 111 # A, Smithtown, NY 11787-3753 | 2014-09-04 |
| 1932444072 | Geri Ellen Pesko | Student in an Organized Health Care Education/Training Program | 10 Foothill Ln, Smithtown, NY 11787-2315 | 2012-11-30 |
| Find all providers in SMITHTOWN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.