Jacqueline D Vaughan-Moscatiello, RN, BSN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

504860 Issued in NY

Practice address

16 Kent PL
Mastic, NY 11950-2204

Phone

(631) 399-6602

Fax

(631) 399-6603

NPI assigned

Nov 23, 2007

Last updated

Nov 23, 2007By 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

Other identifiers 1

Other names 1

• Mrs. Jacqueline D Moscatiello Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1195776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195776000000",
    "number": "1699956276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 KENT PL",
            "city": "MASTIC",
            "state": "NY",
            "postal_code": "119502204",
            "telephone_number": "631-399-6602",
            "fax_number": "631-399-6603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 KENT PL",
            "city": "MASTIC",
            "state": "NY",
            "postal_code": "119502204",
            "telephone_number": "631-399-6602",
            "fax_number": "631-399-6603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHAN-MOSCATIELLO",
        "first_name": "JACQUELINE",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "RN, BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-23",
        "last_updated": "2007-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "504860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01925002",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "MOSCATIELLO",
            "middle_name": "D",
            "prefix": "MRS.",
            "credential": "R.N., B.S.N.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Registered Nurse in Mastic, NY
• Providers in Mastic, 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 Nov 23, 2007; 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.