Jaqualyn Iardella, is a
Registered Nurse based in Troy, New York. Jaqualyn Iardella is licensed to practice in New York (license number 817212) and her current practice location is
2435 6th Ave, Troy, New York. She can be reached at her office (for appointments etc.) via phone at
(518) 274-5143.
NPI number for Jaqualyn Iardella is 1851771851 and her current mailing address is 79 Glenridge Rd, Glenville, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1851771851.
Healthcare Provider's Profile
Full Name | Jaqualyn Iardella |
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Gender | Female |
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Speciality | Registered Nurse |
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Location | 2435 6th Ave, Troy, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1851771851
- Provider Enumeration Date: 06/04/2015
- Last Update Date: 08/17/2021
Medical Identifiers
Medical identifiers for Jaqualyn Iardella such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1851771851 | NPI | - | NPPES |
10400Y | Other | MA | MEDICARE PAN |
01420800 | Medicaid | NY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
163W00000X | Registered Nurse | 817212 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jaqualyn Iardella is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jaqualyn Iardella, 79 Glenridge Rd, Glenville, NY 12302-4523 Ph: () - | Jaqualyn Iardella, 2435 6th Ave, Troy, NY 12180-2227 Ph: (518) 274-5143 |
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