Robert Mucciolo MD PC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

ROBERT MUCCIOLO MD PC

Practice address

20 Hicksville Rd
Suite 3
Massapequa, NY 11758-5819

Phone

(516) 541-5500

NPI assigned

Oct 18, 2011

Last updated

Oct 18, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Robert L. Mucciolo, MDNPI 1245334473

Title

President

Phone

(516) 541-5500

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert L Mucciolo, M.D.

  • Urology Physician
  • Massapequa, NY
  • NPI 1245334473
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1318896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318896000000",
    "number": "1023393493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 HICKSVILLE RD",
            "address_2": "SUITE 3",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117585819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 HICKSVILLE RD",
            "address_2": "SUITE 3",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117585819",
            "telephone_number": "516-541-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT MUCCIOLO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-18",
        "last_updated": "2011-10-18",
        "status": "A",
        "authorized_official_last_name": "MUCCIOLO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-541-5500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Urology Physician in Massapequa, NY
• Providers in Massapequa, NY by specialty
• Urology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.