Antoinette Loccisano, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

005102 Issued in NY

Practice address

56-45 Main Street
New York Hospital Medical Center of Queens - Emergency
Flushing, NY 11355

Phone

(718) 670-1231

Fax

(610) 617-6280

NPI assigned

Jul 24, 2006

Last updated

Apr 10, 2017By the provider in NPPES

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 names 1

• Antoinette Loccisano Former name

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Island Urgent Care PLLCGroup PAC ID 1355636440, 17 clinicians

Excel Urgent Care of NHP PLLCGroup PAC ID 1658517883, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: anl9008@direct.nyp.org

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.

• Excel Urgent Care of NHP PLLC

  • Urgent Care Clinic/Center
  • New Hyde Park, NY
  • NPI 1952652281
  Medicare reassignment Care Compare group
• Island Urgent Care PLLC

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • East Meadow, NY
  • NPI 1376991414
  Medicare reassignment Care Compare group
• Nassau Suffolk Medical PLLC

  • Family Medicine Physician
  • West Islip, NY
  • NPI 1679450829
  Medicare reassignment NPD
• Excel Urgent Care of Wantagh PLLC

  • Urgent Care Clinic/Center
  • Wantagh, NY
  • NPI 1184067936
  Medicare reassignment
• Queens Emergency Medical Associates PLLC

  • Emergency Medicine Physician
  • Flushing, NY
  • NPI 1407269186
  Medicare reassignment
• New York Hospital Medical Center of Queens

  dba Emergency Practice Plan

  • Emergency Medicine Physician
  • Flushing, NY
  • NPI 1366460826
  NPD (past)
• South Beach Medical PC

  • Internal Medicine Physician
  • Far Rockaway, NY
  • NPI 1699872499
  NPD (past)

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491782400000",
    "number": "1174545990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 430",
            "address_2": "C/O EMERGENCY PRACTICE PLAN",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11352",
            "telephone_number": "610-668-6491",
            "fax_number": "610-617-6280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56-45 MAIN STREET",
            "address_2": "NEW YORK HOSPITAL MEDICAL CENTER OF QUEENS - EMERGENCY",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11355",
            "telephone_number": "718-670-1231",
            "fax_number": "610-617-6280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCCISANO",
        "first_name": "ANTOINETTE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2017-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "005102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANTOINETTE",
            "last_name": "LOCCISANO",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Peiwei Lo, OD
• Peter Lo, D.M.D.
• Shirley Lo
• Wei-Hsiu Lo, M.D.
• Ilene Locastro, LMHC
• Joanne Yue Yang Lock, P.A.
• Danni Locsin, FNP
• Homayoon Lodeen, MD
• Sanjay Lodha, MD
• Laura Loeb

• Physician Assistant in Flushing, NY
• Providers in Flushing, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.