Rosario L. Inciong, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

165320 Issued in NY

Practice address

1976 Grand Ave
North Baldwin, NY 11510-2813

Phone

(516) 855-1800

NPI assigned

May 30, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• South Shore Asociation for Independent Living, Inc.

  • Counselor
  • Baldwin, NY
  • NPI 1174733539
  NPD (past)

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212710400000",
    "number": "1043267339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 GRANT AVE",
            "city": "NORTH BALDWIN",
            "state": "NY",
            "postal_code": "115101331",
            "telephone_number": "516-855-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1976 GRAND AVE",
            "city": "NORTH BALDWIN",
            "state": "NY",
            "postal_code": "115102813",
            "telephone_number": "516-855-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INCIONG",
        "first_name": "ROSARIO",
        "middle_name": "L.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-30",
        "last_updated": "2008-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "165320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "165320",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Ashley Henry, LPN
• Tanisha P. Henry, MSN, APRN, FNP-C
• Brittany Herbert, LCSW
• Shari Huffstead
• Adekemi Idowu
• Innovative Lifestyle Solutions
• Eyra Ixcolin, RDH
• J& J Premium Eye Care Inc
• Alison Jackson, P.A.
• Desiree Jackson

• Psychiatry Physician in North Baldwin, NY
• Providers in North Baldwin, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.