Active NPI
Maria Lynne Ciardiello, F.N.P
- Family Nurse Practitioner
- Staten Island, NY
National Provider Identifier
1962771212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 333715
- Practice address
- 774 Manor Rd
Staten Island, NY 10314-7038 - Phone
- (718) 496-2542
- Fax
- (718) 494-6572
- NPI assigned
- Dec 15, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 333715 | NY | Primary |
Addresses
Primary practice location
774 Manor Rd
Staten Island, NY 10314-7038
Mailing address
63 Potter Ave
Staten Island, NY 10314-2507
Phone (718) 727-0261
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 333715 | NY | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323907200000",
"number": "1962771212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "63 POTTER AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103142507",
"telephone_number": "718-727-0261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "774 MANOR RD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103147038",
"telephone_number": "718-496-2542",
"fax_number": "718-494-6572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CIARDIELLO",
"first_name": "MARIA",
"middle_name": "LYNNE",
"name_prefix": "Mrs.",
"credential": "F.N.P",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-15",
"last_updated": "2011-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "333715",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.