Individual provider Active NPI

Ronald Brancaccio

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1174578769
Registry record updated Aug 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
122348-1 Issued in NY
Practice address
7901 4TH Ave
Brooklyn, NY 11209-3957
Phone
(718) 491-5800
Fax
(718) 748-2151
NPI assigned
May 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 122348-1 NY Primary

Addresses

Primary practice location

7901 4TH Ave
Brooklyn, NY 11209-3957

Mailing address

7901 4TH Ave
Brooklyn, NY 11209-3957
Phone (718) 491-5800

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
I20040507000211 NY Practitioner - Dermatology 6709875651 Reassigns benefits to 1 organization
Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
George Washington University School of Medicine, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ronald R Brancaccio MD and Peter Saitta DO PCGroup PAC ID 0648351338, 23 clinicians

Practice addresses (Care Compare)

7901 4TH Ave
Suite A20
Brooklyn, NY 11209-3957
Phone (718) 491-5800

Merit-based Incentive Payment System (MIPS)

Final score
85.97 of 100Reported as group
Quality
87.04
Promoting interoperability
77
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1238
Removal of skin cancer1-10
Removal of nail tissue1-10
Removal or shaving of skin growth28
Skin biopsy679

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
122348-1NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Ronald R Brancaccio MD & Peter Saitta DO PC CurrentSince Jan 1, 1981 Accepting new patients
Siny Dermatology Florida PastSince Mar 24, 2024 Accepting new patients
Live Beyond Medical MGMT LLC PastSince Mar 21, 2021 Accepting new patients
Bruce E. Katz, MD, PC Specialist Past Accepting new patients
Saitta Dermatology PC PastSince Apr 1, 2020 Accepting new patients

Locations

7901 4th Ave
Ste A20
Brooklyn, NY 11209
Phone (718) 491-6900

438 Graham Ave
Brooklyn, NY 11211
Phone (718) 349-5912

76 7th Ave
Brooklyn, NY 11217
Phone (718) 238-0500

10933 71st Rd
Ste 1F
Forest Hills, NY 11375
Phone (718) 575-2930

83A Grand Ave
Massapequa, NY 11758
Phone (516) 798-4348

69 E 76th St
New York, NY 10021
Phone (212) 288-7231

56850 Route 25
Southold, NY 11971
Phone (631) 765-1191

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344902400000",
    "number": "1174578769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093957",
            "telephone_number": "718-491-5800",
            "fax_number": "718-748-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093957",
            "telephone_number": "718-491-5800",
            "fax_number": "718-748-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANCACCIO",
        "first_name": "RONALD",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2012-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "122348-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.