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

Jenna Nicole Coluccio

Individual provider Physician Assistant · NPI 1982178554

Jenna Nicole Coluccio is a Physician Assistant in New York, New York. Qualified in 2018, 8 years ago. Practices with MSKCC Surgery Group, a 365-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
8
In the registry since
2019
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Practice location Address checks out

170 William St
New York, NY 10038-2612
Phone: (212) 312-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1982178554
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 17, 2019
Last updated in NPPESJanuary 17, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Mskcc Surgery Group — 365 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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