Active NPI
Richard Maggio, M.D.
- Specialist
- Staten Island, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 176972-1
- Practice address
- 1086 Forest Ave FL 3
Staten Island, NY 10310-2405 - Phone
- (347) 774-8386
- Fax
- (718) 981-4261
- NPI assigned
- Sep 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MA58803 | NJ | |
| Specialist | 174400000X | 176972-1 | NY | Primary |
Addresses
Primary practice location
1086 Forest Ave FL 3
Staten Island, NY 10310-2405
Mailing address
1086 Forest Ave FL 3
Staten Island, NY 10310-2405
Phone (347) 774-8386
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02951426 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- New York Medical College, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
355 Bard Ave
Staten Island, NY 10310-1664
4434 Amboy Rd
Staten Island, NY 10312-3845
Phone (718) 984-9658
Hospital & facility affiliations
- Richmond University Medical Center
- Staten Island University Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA58803 | NJ | MD | Specialist |
| 176972-1 | NY | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genitourinary Surgeons of New Jersey PA | Current | Accepting new patients | |
| Sovereign Medical Group, LLC | Current | Accepting new patients | |
| Amboy Medical Practice PC | Current | Accepting new patients | |
| Amboy Medical Practice PC | Current | Accepting new patients | |
| Sovereign Medical Group LLC | Current | Accepting new patients | |
| Richmond University Medical Center | Past | Accepting new patients |
Locations
579A Cranbury Rd
Ste 105
East Brunswick, NJ 08816
Phone (732) 390-8700
85 Harristown Rd
Ste 200
Glen Rock, NJ 07452
Phone (201) 444-4526
211 Courtyard Dr
Hillsborough, NJ 08844
Phone (908) 685-0080
631 Grand St
Ste 2400
Jersey City, NJ 07304
Phone (201) 636-6784
631 Grand St
Ste 21
Jersey City, NJ 07304
680 Kinderkamack Rd
Ste 300
Oradell, NJ 07649
Phone (201) 881-7869
2071 Clove Rd
Ste J
Staten Island, NY 10304
Phone (347) 774-8386
275 Castleton Ave
Staten Island, NY 10301
Phone (718) 447-2829
1086 Forest Ave
Ste 3
Staten Island, NY 10310
Phone (347) 774-8386
1200 South Ave
Ste 301
Staten Island, NY 10314
Phone (718) 370-1400
2071 Clove Rd
#J
Staten Island, NY 10304
Phone (201) 855-8301
4434 Amboy Rd
Staten Island, NY 10312
Phone (718) 818-1015
1200 South Ave
Staten Island, NY 10314
Phone (718) 370-1400
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Interoperability endpoints
- richard.maggio.1@19656.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Staten Island, NY
- NPI 1700037975
-
- Diagnostic Radiology Physician
- Staten Island, NY
- NPI 1104692672
-
- Legal Medicine
- Hillsborough, NJ
- NPI 1881732162
-
- Durable Medical Equipment & Medical Supplies
- Glen Rock, NJ
- NPI 1801266275
-
- Multi-Specialty Clinic/Center
- Staten Island, NY
- NPI 1811054042
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Staten Island, NY
- NPI 1740389154
-
- General Acute Care Hospital
- Staten Island, NY
- NPI 1407877137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617321600000",
"number": "1205939998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1086 FOREST AVE FL 3",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103102405",
"telephone_number": "347-774-8386",
"fax_number": "718-981-4261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1086 FOREST AVE FL 3",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103102405",
"telephone_number": "347-774-8386",
"fax_number": "718-981-4261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGGIO",
"first_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-07",
"last_updated": "2021-04-02",
"certification_date": "2021-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NJ",
"license": "MA58803",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "176972-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02951426",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; 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.