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

Jillian Nicole Ottombrino, MD

Individual provider Pediatrics Physician · NPI 1174109839

Jillian Nicole Ottombrino, MD is a Pediatrics Physician in Staten Island, New York. Licensed in New York. Registered with an NPI since 2021.

Licensed in
NY
In the registry since
2021
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

453 Colon Ave
Staten Island, NY 10308-1419
Phone: (718) 948-2121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 331601 (NY)

Record details

NPI number1174109839
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 23, 2021
Last updated in NPPESJuly 6, 2024
Certification dateJune 25, 2024

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