Patricia Cracchiola

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

308760 Issued in NY

Practice address

265 Broadhollow Rd
Melville, NY 11747-4833

Phone

(631) 759-4445

NPI assigned

Aug 22, 2023

Last updated

Aug 22, 2023By 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": "1692662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1639953623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 CROFT LN",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117874109",
            "telephone_number": "631-897-1454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 BROADHOLLOW RD",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117474833",
            "telephone_number": "631-759-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRACCHIOLA",
        "first_name": "PATRICIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-22",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "NY",
            "license": "308760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn R Costello
• Thomas E Costello, M.D.
• Fallon Coster
• Nicolas Cottone
• Dawn M Cozzolino
• Barbara Ann Crisafulli, CRNA
• Eileen Cristiano, TSHH, M.S.,TVI, BCBA
• Kimberly Rose Crocco, BCBA
• Aimee Croce, DNP
• Keri Cromer, MS SPED

• Case Management Registered Nurse in Melville, NY
• Providers in Melville, NY by specialty
• Case Management Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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.