Individual provider Active NPI

Robert Conciatori, MD

  • Psychiatry Physician
  • Staten Island, NY
National Provider Identifier
1144345539
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
179693 Issued in NY
Practice address
71 Todt Hill Rd
Suite 201
Staten Island, NY 10314-4534
Phone
(718) 767-2059
Fax
(718) 767-2059
NPI assigned
Mar 21, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 179693 NY Primary

Addresses

Primary practice location

71 Todt Hill Rd
Suite 201
Staten Island, NY 10314-4534

Mailing address

79 Malba Dr
Whitestone, NY 11357-1057
Phone (718) 767-2059

Other identifiers 1

IdentifierTypeStateIssuer
01365755MedicaidNY

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
I20051115000785 NY Practitioner - Psychiatry 1052330461 Practice locations: Staten Island, NY

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

25 Fanning St
Staten Island, NY 10314-5307
Phone (718) 767-2059

Merit-based Incentive Payment System (MIPS)

Final score
23.61 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
78.71

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Midtown Medical Associates, P.C. Past Accepting new patients
Midtown Medical Assoc PC Past Accepting new patients

Organizations & group practices 2

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": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144345539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 MALBA DR",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113571057",
            "telephone_number": "718-767-2059",
            "fax_number": "718-767-2059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 TODT HILL RD",
            "address_2": "SUITE 201",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103144534",
            "telephone_number": "718-767-2059",
            "fax_number": "718-767-2059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONCIATORI",
        "first_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "179693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01365755",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.