Christina A Decicco, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F350702 Issued in NY

Practice address

1112 South Ave
Staten Island, NY 10314-3410

Phone

(718) 761-8800

NPI assigned

Nov 4, 2022

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ny Cardiac & Vascular PLLC

  • Cardiovascular Disease Physician
  • Staten Island, NY
  • NPI 1396141503
  Medicare reassignment NPD
• Ny Cardio Care PLLC

  • Cardiovascular Disease Physician
  • Staten Island, NY
  • NPI 1073859203
  NPD

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

{
    "created_epoch": "1667520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1194432450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 WASHINGTON AVE",
            "city": "SOUTH AMBOY",
            "state": "NJ",
            "postal_code": "088792424",
            "telephone_number": "347-263-6406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 SOUTH AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143410",
            "telephone_number": "718-761-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECICCO",
        "first_name": "CHRISTINA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-04",
        "last_updated": "2022-11-04",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F350702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arianna Decaro, PT,DPT
• Angelina Reperoga Decastro, MD
• Danielle Decesare, PA-C
• Vincent Bruzola Dechavez
• Rachel Dechiriico
• Alyssa Decker
• Christine Oladuni Lucinda Decker
• Zachary R Decker, CRPA-P
• Elise Deconzo
• John William Decorato, M.D.

• Family Nurse Practitioner in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.