Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jean Marie Cacciabaudo, MD

Individual provider Cardiovascular Disease Physician · NPI 1497778930

Jean Marie Cacciabaudo, MD is a Cardiovascular Disease (Cardiology) in West Islip, New York. Graduated from New York Medical College in 1990, 36 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
36
Trained at
New York Medical College
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

540 Union Blvd
West Islip, NY 11795-3105
Phone: (631) 669-2555
Fax: (631) 669-5787
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 186646 (NY)

Record details

NPI number1497778930
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 25, 2006
Last updated in NPPESOctober 1, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Also practisesNUCLEAR MEDICINE
Medical schoolNEW YORK MEDICAL COLLEGE
Graduated 1990 (36 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations11 on file with Medicare

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