Individual provider Active NPI

Joanna Susan Trigg, DO

  • Dermatology Physician
  • Hicksville, NY
National Provider Identifier
1073053211
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
294563 Issued in NY
Practice address
400 S Oyster Bay Rd Ste 100
Hicksville, NY 11801-3500
Phone
(516) 933-1717
NPI assigned
Mar 7, 2017
Last updated
Jun 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Dermatology Physician 207N00000X 294563 NY Primary

Addresses

Primary practice location

400 S Oyster Bay Rd Ste 100
Hicksville, NY 11801-3500

Mailing address

400 S Oyster Bay Rd Ste 100
Hicksville, NY 11801-3500
Phone (516) 933-1717

Other names 1

  • Joanna Susan Emilio Former name

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
I20220308001474 NY Practitioner - Osteopathic Manipulative Medicine 8921492968 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allure Dermatology PLLCGroup PAC ID 3274929468, 4 clinicians

Practice addresses (Care Compare)

400 S Oyster Bay Rd
Suite 100
Hicksville, NY 11801-3500
Phone (516) 933-1717

Merit-based Incentive Payment System (MIPS)

Final score
97.83 of 100Reported as group
Quality
78.68
Promoting interoperability
98
Improvement activities
40
Cost
82.43

Merit-based Incentive Payment System (MIPS)

Final score
98.15 of 100Reported as group
Quality
96.29
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
68.06 of 100Reported as group
Quality
36.13
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions200
Removal or shaving of skin growth1-10
Skin biopsy98

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St John's Medical Services PC CurrentSince Mar 4, 2022 Accepting new patients
Mariel Eliza, M.D., PLLC CurrentSince Jun 1, 2024 Accepting new patients
Bellmore Dermatology PLLC CurrentSince Nov 4, 2021 Accepting new patients
Allure Dermatology PLLC Dermatology CurrentSince Jun 1, 2024 Accepting new patients

Locations

2351 Bedford Ave
Bellmore, NY 11710
Phone (516) 781-5070

327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640

400 S Oyster Bay Rd
Ste 100
Hicksville, NY 11801
Phone (516) 234-0073

10538 Rockaway Beach Blvd
Rockaway Park, NY 11694
Phone (718) 318-3434

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14448/brand/1/csg/1/fhir/r4
  • FHIR API: https://app.meldrx.com/api/fhir/ez_00030
  • Direct secure messaging: joanna.trigg.1@14448.direct.athenahealth.com

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1488844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1073053211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S OYSTER BAY RD STE 100",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118013500",
            "telephone_number": "516-933-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S OYSTER BAY RD STE 100",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118013500",
            "telephone_number": "516-933-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIGG",
        "first_name": "JOANNA",
        "middle_name": "SUSAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-07",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "294563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANNA",
            "last_name": "EMILIO",
            "middle_name": "SUSAN",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hicksville, NY

Sources for this page

Verify at the official NPI Registry.