Individual provider Active NPI

Gillian Ariel-Marie Cipriano, FNP

  • Family Nurse Practitioner
  • Staten Island, NY
National Provider Identifier
1942059357
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F353583-01 Issued in NY
Practice address
596 College Ave
Staten Island, NY 10302-2510
Phone
(646) 571-5419
NPI assigned
May 16, 2024
Last updated
May 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F353583-01 NY Primary

Addresses

Primary practice location

596 College Ave
Staten Island, NY 10302-2510

Mailing address

596 College Ave
Staten Island, NY 10302-2510
Phone (646) 571-5419

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240830001963 NY Practitioner - Nurse Practitioner 6800335118 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Doctor's Medical PCGroup PAC ID 7416005103, 15 clinicians
Physicare Multi Services LTDGroup PAC ID 9032212295, 9 clinicians

Practice addresses (Care Compare)

2968 Ave X
Brooklyn, NY 11235-1808
Phone (718) 769-4988

3508 Flatlands Ave
Brooklyn, NY 11234-2609
Phone (718) 253-3900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F353583-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physicare Multi Services LTD CurrentSince Aug 12, 2024 Accepting new patients
Doctor's Medical P.C CurrentSince Aug 12, 2024 Accepting new patients

Locations

2116 Avenue P
Brooklyn, NY 11229
Phone (718) 338-1616

2968 Avenue X
Brooklyn, NY 11235
Phone (718) 769-4988

3508 Flatlands Ave
Brooklyn, NY 11234
Phone (718) 253-3900

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1715817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1942059357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "596 COLLEGE AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103022510",
            "telephone_number": "646-571-5419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "596 COLLEGE AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103022510",
            "telephone_number": "646-571-5419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIPRIANO",
        "first_name": "GILLIAN",
        "middle_name": "ARIEL-MARIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-16",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F353583-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.