Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jessica Marie Magioncalda, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1629808563

Jessica Marie Magioncalda, PMHNP-BC is a Nurse Practitioner in Farmingville, New York. Graduated from City University of New York School of Medicine in 2024, 2 years ago. Practices with Cs Medical Associates, PC, a 63-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
2
Trained at
City University of New York School of Medicine
Licensed in
NY
In the registry since
2024
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

100 Granny Rd Ste 1
Farmingville, NY 11738-2879
Phone: (631) 696-4957
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 405989 (NY)

Record details

NPI number1629808563
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedAugust 6, 2024
Last updated in NPPESAugust 21, 2024
Certification dateAugust 21, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolCITY UNIVERSITY OF NEW YORK SCHOOL OF MEDICINE
Graduated 2024 (2 years in practice)
Group practice Cs Medical Associates, Pc — 63 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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