Individual provider Active NPI

Alecia M Giovinazzo, MD

  • Obstetrics & Gynecology Physician
  • Staten Island, NY
National Provider Identifier
1063580835
Registry record updated Dec 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
237013 Issued in NY
Practice address
450 Slosson Ave
Staten Island, NY 10314-5445
Phone
(718) 494-2690
Fax
(718) 477-1311
NPI assigned
Dec 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 237013 NY Primary

Addresses

Primary practice location

450 Slosson Ave
Staten Island, NY 10314-5445

Mailing address

723 Broadway
Staten Island, NY 10310-2833
Phone (718) 494-2690

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20051117000956 NY Practitioner - Obstetrics/Gynecology 8527087634 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
New York Medical College, 2005
Medicare assignment
May accept Medicare assignment
Group practices
Alecia M. Giovinazzo MD LLCGroup PAC ID 8527140730, 2 clinicians

Practice addresses (Care Compare)

1498 Clove Rd
Staten Island, NY 10301-4314
Phone (718) 494-2690

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
23 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
76.66

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
237013NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alecia M. Giovinazzo MD LLC Obstetrics & Gynecology CurrentSince Aug 10, 2005 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Nov 18, 2025 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Nov 18, 2025 Accepting new patients
Staten Island University Hospital Past Accepting new patients
Amboy Medical Practice PC Obstetrics & Gynecology PastSince Sep 1, 2024 Accepting new patients
Richmond Medical Center Past Accepting new patients
Marie L. Vartolo M.D.P.C. Obstetrics & Gynecology PastSince Dec 22, 2019 Accepting new patients
Amboy Medical Practice PC Past Accepting new patients
Richmond University Medical Center Past Accepting new patients

Locations

178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456

1 Atwell Rd
Cooperstown, NY 13326
Phone (607) 547-3480

723 Broadway
Staten Island, NY 10310
Phone (718) 448-4747

355 Bard Ave
Staten Island, NY 10310
Phone (718) 818-1380

130 North St
Walton, NY 13856
Phone (607) 865-6541

Interoperability endpoints

  • Direct secure messaging: agiovinazzo67307@northwell.direct-ci.com
  • Direct secure messaging: alecia.giovinazzo.1@31093.direct.athenahealth.com

Organizations & group practices 9

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576627200000",
    "number": "1063580835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 BROADWAY",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103102833",
            "telephone_number": "718-494-2690",
            "fax_number": "718-477-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 SLOSSON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103145445",
            "telephone_number": "718-494-2690",
            "fax_number": "718-477-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIOVINAZZO",
        "first_name": "ALECIA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "237013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.