JESSICA BIANCULLI (NPI# 1225447832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225447832 |
| Entity Type | Individual |
| Full Name | JESSICA BIANCULLI |
| Credential | PA |
| Practice Address |
111 W Old Country Rd Suite 202 Hicksville NY 11801-4036 |
| Practice Telephone | 5163909237 |
| Mailing Telephone | 5163909237 |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2014-10-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 017696 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
111 W OLD COUNTRY RD SUITE 202 |
| City | HICKSVILLE |
| State | NY |
| Zip Code | 11801-4036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821034810 | Farid H Arroyave | Physical Therapist | 111 W Old Country Rd, Suite #001, Hicksville, NY 11801-4036 | 2006-06-20 |
| 1659746451 | Kang Seo | Physical Therapist | 111 W Old Country Rd, Suite 001, Hicksville, NY 11801-4036 | 2015-12-04 |
| 1073912671 | Stephanie Bravo | Physical Therapist | 111 W Old Country Rd, Hicksville, NY 11801-4036 | 2014-08-19 |
| 1457691198 | Tony Li | Physical Therapist | 111 W Old Country Rd, Hicksville, NY 11801-4036 | 2013-02-17 |
| 1861666158 | Woojin Park | Acupuncturist | 111 W Old Country Rd, Hicksville, NY 11801-4036 | 2008-04-17 |
| 1922283696 | Stacey K Rosellon | Physical Therapist | 111 W Old Country Rd, Hicksville, NY 11801-4036 | 2007-12-31 |
| 1871796516 | Elizabeth Patricia Haversham-brown | Counselor | 111 W Old Country Rd, Suite 2 B, Hicksville, NY 11801-4003 | 2007-06-08 |
| 1689877326 | Beatrice Stump | Counselor | 111 W Old Country Rd, Suite 2 B, Hicksville, NY 11801-4003 | 2007-06-08 |
| 1801017728 | New Pathway | Substance Abuse Rehabilitation Facility | 111 W Old Country Rd, Suite 2b, Hicksville, NY 11801-4003 | 2007-05-01 |
| 1598821555 | Home Physical Therapy Solutions PC | Physical Therapist | 111 W Old Country Rd, Suite 001, Hicksville, NY 11801-4036 | 2006-12-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588296222 | Princy John | Registered Nurse | 19 Utica Ave, Hicksville, NY 11801 | 2020-02-11 |
| 1558920314 | Alvin Varkey | Registered Nurse | 1 Hastings Lane, Hicksville, NY 11801 | 2019-06-06 |
| 1033680152 | Chaolin Fu | Physical Therapist | 4 Savoy Place, Hicksville, NY 11801 | 2018-12-16 |
| 1902373954 | Linda Alagna | Massage Therapist | 21 Michigan Dr, Hicksville, NY 11801 | 2018-10-29 |
| 1336621523 | Christina Doyle | Early Intervention Provider Agency | 22 April Lane, Hicksville, NY 11801 | 2018-09-04 |
| 1376023325 | Jessica Lyons | Specialist | 128 5th Ave, Hicksville, NY 11801 | 2018-08-20 |
| 1881180404 | Laura Veronica Cevallos | Early Intervention Provider Agency | 67 Lee Ave, Hicksville, NY 11801 | 2018-07-06 |
| 1942719810 | David Collins | Behavioral Analyst | 431 Division Avenue, Hicksville, NY 11801 | 2017-09-23 |
| 1285159756 | James Daconti | Social Worker | 100 Duffy Ave Ste 510, Hicksville, NY 11801 | 2017-08-07 |
| 1306376918 | Emily Miracolo | Specialist | 9 Waters Ave, Hicksville, NY 11801 | 2017-06-15 |
| Find all providers in zip 11801 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003431073 | Macy Marie Bradbury | Physician Assistant | 217 N Bryan St, Hicksville, OH 43526-1005 | 2020-06-15 |
| 1033758560 | Victoria Zhou | Physician Assistant | 2 Angle Ln, Hicksville, NY 11801-4410 | 2020-01-01 |
| 1225676398 | Kirupajini Gnanamurthy | Physician Assistant | 14 Cornwall Ln, Hicksville, NY 11801-3740 | 2019-12-19 |
| 1851938781 | Puneet K Gill | Physician Assistant | 51 Cedar St, Hicksville, NY 11801-3207 | 2019-12-10 |
| 1831730399 | Aney D Patel | Physician Assistant | 25 Woodcrest Rd, Hicksville, NY 11801-6027 | 2019-10-04 |
| 1841756863 | Lauren Drankwalter | Physician Assistant | 202 Dartmouth Dr, Hicksville, NY 11801-3423 | 2019-02-14 |
| 1568960078 | Nicholas Edward Broughton | Physician Assistant | 99 Woodbury Rd, Hicksville, NY 11801-3043 | 2018-01-30 |
| 1841656113 | Quratul Lodhi | Physician Assistant | 5 N Fordham Rd, Hicksville, NY 11801-6006 | 2016-01-02 |
| 1013385186 | Muhaimina Khalfan | Physician Assistant | 12 Loretta Ln, Hicksville, NY 11801-3716 | 2015-09-08 |
| 1821499468 | Cameron Suh | Physician Assistant | 20 Winter Ln, Hicksville, NY 11801-6220 | 2014-09-15 |
| Find all providers in HICKSVILLE | ||||
| City | HICKSVILLE |
| Zip Code | 11801 |
Please comment or provide details below to improve the information on JESSICA BIANCULLI.
| 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.