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

Mariano Siragusa

Individual provider Adult Health Nurse Practitioner · NPI 1881275469

Mariano Siragusa is a Nurse Practitioner in Staten Island, New York. Qualified in 2021, 5 years ago. Practices with Weill Medical College of Cornell, a 2,031-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2021
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Practice location Address checks out

1200 S Ave Ste 301
Staten Island, NY 10314-3420
Phone: (718) 370-1400
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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 310168 (NY)

Record details

NPI number1881275469
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 15, 2021
Last updated in NPPESJune 16, 2022
Certification dateJune 12, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Weill Medical College Of Cornell — 2031 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Staten Island