Jessica Ann Pulizzano, TEACHER

Primary specialty

SpecialistTaxonomy code 174400000X

License

1109410 Issued in NY

Practice address

4163 Amboy Rd Apt I2
Staten Island, NY 10308-2356

Phone

(347) 268-8989

NPI assigned

Jul 23, 2019

Last updated

Jul 23, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1568015089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4163 AMBOY RD APT I2",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103082356",
            "telephone_number": "347-268-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4163 AMBOY RD APT I2",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103082356",
            "telephone_number": "347-268-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULIZZANO",
        "first_name": "JESSICA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "TEACHER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-23",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "1109410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Pugliese, LCSW
• Danielle Pugliese, LMHC-LP
• Maria Theresa Puglisi, BSPT
• Vincenzo Joseph Puglisi, M.S., CCC-SLP
• Kathleen Elizabeth Pulisciano, MS, CCC-SLP
• Antonio Vito Pullano, MD
• Madelyn D. Pullman, MD
• Jennifer Marie Pumarejo, D.M.D.
• Teresita M Punzalan, LPN
• Angelika Pupiec

• Specialist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.