Gina Siracusano, ATC, CES
NPI 1790384410 · Athletic Trainer · Mastic Beach, NY
Gina Siracusano, ATC, CES is a Athletic Trainer provider in Mastic Beach, NY (NPI 1790384410).
Provider details
- NPI number
- 1790384410
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC, CES
- Sex
- Female
- Sole proprietor
- Yes
- License
- 002663-01 (NY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 205 Beaver Dam RdBrookhaven, NY 11719-9707Phone: (631) 704-1899
Registry dates
- Enumerated
- 2020-10-23
- Last updated
- 2020-10-23
- Certified
- 2020-10-23
Frequently asked questions
- What is Gina Siracusano's NPI number?
- Gina Siracusano's National Provider Identifier (NPI) is 1790384410, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gina Siracusano's specialty?
- Gina Siracusano is listed in the NPPES registry with a primary specialty of Athletic Trainer (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Gina Siracusano located?
- Gina Siracusano's practice location on file with NPPES is 630 Mastic Rd Ste 4, Mastic Beach, NY 11951-1020.
- What is Gina Siracusano's phone number?
- The practice phone number listed in the NPPES registry for Gina Siracusano is (631) 704-1899.
- Is Gina Siracusano's NPI active?
- Yes — Gina Siracusano's NPI (1790384410) is active in the NPPES registry as of the last update on 2020-10-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.