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

Marco Jaboli Dacillo, AGNP-C

Individual provider Nurse Practitioner · NPI 1740954429

Marco Jaboli Dacillo, AGNP-C is a Nurse Practitioner in New York, New York. Qualified in 2020, 6 years ago. Practices with Weill Medical College of Cornell, a 2,031-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

121 E 97th St Apt 33
New York, NY 10029-7210
Phone: (732) 895-2353
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence F309823 (NY)
Nurse Practitioner Taxonomy 363L00000X · Licence F309823 (NY)

Record details

NPI number1740954429
Entity typeIndividual (Type 1)
GenderMale
Credentials AGNP-C
Sole proprietorYes
NPI enumeratedAugust 5, 2021
Last updated in NPPESMay 4, 2023
Certification dateMay 4, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Weill Medical College Of Cornell — 2031 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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