Jonathan Cavolo

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

723933 Issued in NY

Practice address

109 Rhine Ave
Staten Island, NY 10304-3301

Phone

(973) 978-3491

NPI assigned

Sep 4, 2025

Sex

Male

Sole proprietor

No

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": "1756944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1679453302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "279 LORETTO ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103072200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 RHINE AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103043301",
            "telephone_number": "973-978-3491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVOLO",
        "first_name": "JONATHAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-04",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "723933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dyane Lyn Cavagnaro-Irvine, PA-C
• Antoinette Cavalenes Joyce, LCSW
• Steven Cavaliere
• Keri Cavallo
• Mary Frances Cavanagh, MA, CCC-SLP, TSSLD
• Erin Cawthorn, DO
• Cda Medical, PLLC
• CDJR Consulting LLC
• Andrea Cea, M.S., CCC-SLP, TSSLD
• Tracey Ceareo

• Registered Nurse in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; 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.