Individual provider · Type 1 NPI

Jonathan Cavolo

Registered Nurse · Staten Island, NY

NPI number 1679453302 Active

Practice location

109 Rhine Ave
Staten Island, NY 10304-3301

Call (973) 978-3491 Map

Mailing address

279 Loretto St
Staten Island, NY 10307-2200

Specialties and licenses

Taxonomy	Code	License
Registered Nurse Primary	163W00000X	723933 (NY)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1679453302

Jonathan Cavolo's National Provider Identifier is 1679453302, issued on Sep 4, 2025. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Staten Island, NY. The record was last updated on Sep 4, 2025.